Provider Demographics
NPI:1861767071
Name:ROSENHEIM, LINDSEY JEANETTE
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:JEANETTE
Last Name:ROSENHEIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16400 US HIGHWAY 331 S
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:FL
Mailing Address - Zip Code:32439-4190
Mailing Address - Country:US
Mailing Address - Phone:850-835-2317
Mailing Address - Fax:850-635-0961
Practice Address - Street 1:128 CROSS ROAD DR
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-5508
Practice Address - Country:US
Practice Address - Phone:828-891-4585
Practice Address - Fax:828-891-7782
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist