Provider Demographics
NPI:1548633274
Name:FOREMAN, LINDSEY KAY FARRAR (FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KAY FARRAR
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:KAY
Other - Last Name:FARRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4030 WAKE FOREST RD STE 349
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-0010
Mailing Address - Country:US
Mailing Address - Phone:209-403-3063
Mailing Address - Fax:844-584-3425
Practice Address - Street 1:455 NE BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5512
Practice Address - Country:US
Practice Address - Phone:209-403-3063
Practice Address - Fax:844-584-3425
Is Sole Proprietor?:No
Enumeration Date:2015-11-03
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003377363LF0000X
HIAPRN2004363LF0000X
NC5010470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily