Provider Demographics
NPI:1043891864
Name:MACQUEEN, LINDSEY MARIE (RPH)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE
Last Name:MACQUEEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CEDARWOOD LN UNIT 308
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-4440
Mailing Address - Country:US
Mailing Address - Phone:339-788-2127
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR # 5C
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHYC-00997183500000X
MA238272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist