Basic Information
| Provider Information | |||||||||
| NPI: | 1720221351 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUSCH | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | MARGOLES | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | MARGOLES | ||||||||
| OtherFirstName: | LINDSAY | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 10 CENTER DRIVE ROOM 2C145 | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208921662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014969320 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10 CENTER DRIVE ROOM 2C145 | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208921662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014969320 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2009 | ||||||||
| LastUpdateDate: | 09/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RC0200X | MD045070 | DC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207R00000X | 68913 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | 264471 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.