Individual
MYRON RAE LINDLEY ST. LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 33872-2162
(863) 385-1900
(863) 385-9229
Mailing address
4301 SUN N LAKE BLVD, SUITE 103, SEBRING, FL 33872-2162
(863) 385-1900
(863) 385-9229
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD438171
PA
2086S0129X
Vascular Surgery Physician
Primary
ME 107124
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002469000
—
FL
Enumeration date
05/10/2007
Last updated
08/23/2013
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