Individual
LINDSAY KAY FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2612 HOUGH RD, FLORENCE, AL 35630-1747
(256) 275-3724
Mailing address
1701 VETERANS DR, FLORENCE, AL 35630-4928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-111756
AL
363LF0000X
Family Nurse Practitioner
Primary
1-111756
AL
Other
Enumeration date
09/07/2017
Last updated
09/25/2022
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