Individual
LINDSAY RAE BARTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2023-00136
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
34.011793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264241
—
OH
01
—
H529710
CGS-MEDICARE
OH
Enumeration date
05/16/2012
Last updated
12/12/2024
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