Provider Demographics
NPI:1548329642
Name:WESTON, LYNDA RIGSBEE (MD)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:RIGSBEE
Last Name:WESTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 LINDSAY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5616
Mailing Address - Country:US
Mailing Address - Phone:919-745-9214
Mailing Address - Fax:
Practice Address - Street 1:4601 LINDSAY DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5616
Practice Address - Country:US
Practice Address - Phone:919-745-9214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC230012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8986667Medicaid
NCE24329Medicare UPIN
NC8986667Medicaid
NCP00249119Medicare ID - Type UnspecifiedPALMETTAGBA RAILROAD