Moore, Lindsay Grace
Moore, Lindsay Grace is an sole proprietor health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Moore, Lindsay Grace can be contacted via phone (860) 442-0711.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN9511006 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 277039 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 11019518 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 277039 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 10717 | Connecticut |
Profile Details
| NPI number | 1154959765 |
|---|---|
| LBN Legal business name | Moore, Lindsay Grace |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2020 |
| Last updated | Aug 31st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154959765 | NPPES |
| Connecticut | MEDICAID | 1154959765 | |
| Connecticut | MEDICAID | 1154959765 |
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