Provider Demographics
NPI:1447851381
Name:QUINN, LYNDSAY MAE (CNM)
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:MAE
Last Name:QUINN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:MAE
Other - Last Name:MANGERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:6847 N CHESTNUT ST STE 300
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3929
Mailing Address - Country:US
Mailing Address - Phone:330-296-4165
Mailing Address - Fax:
Practice Address - Street 1:6847 N CHESTNUT ST STE 300
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3929
Practice Address - Country:US
Practice Address - Phone:330-296-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
OH176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife