Basic Information
| Provider Information | |||||||||
| NPI: | 1942427935 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OLIVEIRA | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | LEIGH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1848 | ||||||||
| Address2: | |||||||||
| City: | MUSKEGON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494431848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8666111512 | ||||||||
| FaxNumber: | 2317284789 | ||||||||
| Practice Location | |||||||||
| Address1: | 1909 RUDDIMAN DR | ||||||||
| Address2: | |||||||||
| City: | N MUSKEGON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2317445566 | ||||||||
| FaxNumber: | 2317449027 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 09/14/2018 | ||||||||
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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 | 207R00000X | 14138 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 14138 | NH | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 4301084392 | MI | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 4301084392 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.