Individual ProviderLindsey RonanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(309) 287-6430PECOS EnrollmentBased on the most recent information from CMS, provider Lindsey Ronan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1093531519Provider TypeIndividualFull NameRonan, LindseyCredentialAGACNPGenderFemaleSole ProprietorNoEnumeration Date11/30/2024Last Updated11/30/2024Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(309) 287-6430FaxUnlisted FaxMailing LocationMailing Address15 Father Jacobbe Rd Apt 426, East Boston, MA 02128-2792PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN10016220Massachusetts