Basic Information
| Provider Information | |||||||||
| NPI: | 1851931133 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARNE | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MA CF-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11177 LAMBS LN | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430559779 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407630408 | ||||||||
| FaxNumber: | 7407630475 | ||||||||
| Practice Location | |||||||||
| Address1: | 159 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430555007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407630408 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2020 | ||||||||
| LastUpdateDate: | 01/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 20191271 | OH | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.