Provider Demographics
NPI:1801020177
Name:OSLEBER, LINDSAY HAYAT (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:HAYAT
Last Name:OSLEBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:HAYAT
Other - Last Name:MALLOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 E 3RD ST
Mailing Address - Street 2:APT 704
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1699
Mailing Address - Country:US
Mailing Address - Phone:352-262-7995
Mailing Address - Fax:
Practice Address - Street 1:9500 KANIS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6324
Practice Address - Country:US
Practice Address - Phone:501-224-6699
Practice Address - Fax:501-224-7752
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN13517207V00000X
ARE-8049207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology