Individual
LINDSEY R HAUKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
931 E MAIN ST, CECILIA, KY 42724-7614
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010050
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13826899
CAQH
—
05
—
7100401190
—
KY
Enumeration date
01/22/2016
Last updated
05/12/2023
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