Provider Demographics
NPI:1902521040
Name:GREER, LYNDEY LAUREN
Entity Type:Individual
Prefix:
First Name:LYNDEY
Middle Name:LAUREN
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3146 C D RAYBORN RD
Mailing Address - Street 2:
Mailing Address - City:JAYESS
Mailing Address - State:MS
Mailing Address - Zip Code:39641-7201
Mailing Address - Country:US
Mailing Address - Phone:601-551-7332
Mailing Address - Fax:
Practice Address - Street 1:3146 C D RAYBORN RD
Practice Address - Street 2:
Practice Address - City:JAYESS
Practice Address - State:MS
Practice Address - Zip Code:39641-7201
Practice Address - Country:US
Practice Address - Phone:601-551-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program