Individual
LINDSEY JORDAN THALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000564
OH
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
Update your record
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