Provider Demographics
NPI:1144752601
Name:BALDRIDGE, LINDSAY MARIE (DO, MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:BALDRIDGE
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:THORNBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:MSC10 5590
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131
Mailing Address - Country:US
Mailing Address - Phone:505-272-6632
Mailing Address - Fax:505-272-6620
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC10 5590
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-6632
Practice Address - Fax:505-272-6620
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDO2024-0113208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics