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Individual
PHAN QUI LINDSEY
Active
Individual
PHAN QUI LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001930
GA
208000000X
Pediatrics Physician
ME104413
FL
208M00000X
Hospitalist Physician
Primary
ME104413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279500
—
FL
01
—
145WE
BLUE CROSS BLUE SHIELD
FL
01
—
CI805Z
MEDICARE PTAN
FL
Enumeration date
04/29/2008
Last updated
08/23/2016
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