Provider Demographics
NPI:1043816754
Name:CRANE, LINDSAY WHITNEY
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:WHITNEY
Last Name:CRANE
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 1:69 CRANE RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:ME
Mailing Address - Zip Code:04435-3107
Mailing Address - Country:US
Mailing Address - Phone:207-416-7776
Mailing Address - Fax:
Practice Address - Street 1:69 CRANE RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:ME
Practice Address - Zip Code:04435-3107
Practice Address - Country:US
Practice Address - Phone:207-924-6259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR69985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist