Provider Demographics
NPI:1700059987
Name:LONGEROT, LINDSEY L (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:L
Last Name:LONGEROT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:KATHRYN
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6620 MAIN ST SUITE H1300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2331
Mailing Address - Country:US
Mailing Address - Phone:713-797-1144
Mailing Address - Fax:832-285-7771
Practice Address - Street 1:6620 MAIN ST SUITE H1300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2331
Practice Address - Country:US
Practice Address - Phone:713-797-1144
Practice Address - Fax:832-285-7771
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2288207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology