Provider Demographics
NPI:1942286125
Name:LINDSAY, TAMMY JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:JEAN
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:MO
Mailing Address - Zip Code:63965-0083
Mailing Address - Country:US
Mailing Address - Phone:618-570-1505
Mailing Address - Fax:949-577-4074
Practice Address - Street 1:1424 BROWN RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:MO
Practice Address - Zip Code:63965-6258
Practice Address - Country:US
Practice Address - Phone:618-570-1505
Practice Address - Fax:949-577-4074
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-114307207Q00000X
MO2014012160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OTH000Medicare UPIN