Individual
LINDSEY NICOLE BRAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807
(417) 875-3846
(417) 875-2517
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3846
(417) 875-2517
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25864
WV
207XX0801X
Orthopaedic Trauma Physician
Primary
2018009699
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2012
Last updated
08/21/2018
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