Individual
LINDSAY OLSON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 PROSPECT PL STE 340B, CORONADO, CA 92118-1991
(619) 522-4000
(619) 435-0150
Mailing address
230 PROSPECT PL STE 340B, CORONADO, CA 92118-1991
(619) 522-4000
(619) 435-0150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP21588
CA
Other
Enumeration date
02/07/2012
Last updated
02/08/2012
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