Individual
AUTUMN LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, LPN
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-5710
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-5710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703118320
MI
164X00000X
Licensed Vocational Nurse
4703118320
MI
208000000X
Pediatrics Physician
Primary
4301511761
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2017
Last updated
06/25/2024
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