Provider Demographics
NPI:1447481254
Name:KEITH, LINDSAY MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:KEITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 HERITAGE PARK PLZ
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1575
Mailing Address - Country:US
Mailing Address - Phone:615-900-2621
Mailing Address - Fax:615-895-7903
Practice Address - Street 1:1830 HERITAGE PARK PLZ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1575
Practice Address - Country:US
Practice Address - Phone:615-900-2621
Practice Address - Fax:855-583-3744
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53488208600000X, 2086X0206X
MI4301108863208600000X
TN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ029297Medicaid