Provider Demographics
NPI:1053554840
Name:FORD, LINDSAY ELISE (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ELISE
Last Name:FORD
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 1:7030 CANAL BLVD, 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124
Mailing Address - Country:US
Mailing Address - Phone:504-503-6760
Mailing Address - Fax:504-503-6761
Practice Address - Street 1:7030 CANAL BLVD, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124
Practice Address - Country:US
Practice Address - Phone:504-503-6760
Practice Address - Fax:504-503-6761
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA206646208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics