Provider Demographics
NPI:1881154649
Name:DOCKEMEYER, LINDSEY M (NP-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:DOCKEMEYER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 LOUISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-8622
Mailing Address - Country:US
Mailing Address - Phone:859-734-5770
Mailing Address - Fax:
Practice Address - Street 1:1509 LOUISVILLE RD
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-8622
Practice Address - Country:US
Practice Address - Phone:859-734-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018601363LF0000X
KY3016475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily