Basic Information
| Provider Information | |||||||||
| NPI: | 1497714851 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINGREEN | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7145 E VIRGINIA ST | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477159144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8129627890 | ||||||||
| FaxNumber: | 8124766162 | ||||||||
| Practice Location | |||||||||
| Address1: | 279 KINGS DAUGHTERS DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | FRANKFORT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5023522530 | ||||||||
| FaxNumber: | 5023522534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2006 | ||||||||
| LastUpdateDate: | 07/06/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 36356 | KY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | 36356 | KY | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0500082140 | 01 | KY | RAILROAD MCAR PIN | OTHER | 64028871 | 05 | KY | MEDICAID |