Provider Demographics
NPI:1033293816
Name:LITTLE, LINDSAY A (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:LITTLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 BRITTANY AVE
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0166
Mailing Address - Country:US
Mailing Address - Phone:412-401-5691
Mailing Address - Fax:
Practice Address - Street 1:1101 RAINTREE CIR STE 250
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4962
Practice Address - Country:US
Practice Address - Phone:972-649-6644
Practice Address - Fax:469-854-6224
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052743363L00000X
TXPA06274363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner