Provider Demographics
NPI:1033560263
Name:GASPAR, LINDSEY ELLEN (PA)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ELLEN
Last Name:GASPAR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:12700 SOUTHFORK RD STE 235
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3201
Mailing Address - Country:US
Mailing Address - Phone:314-729-9995
Mailing Address - Fax:314-729-9994
Practice Address - Street 1:12700 SOUTHFORK RD STE 235
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3201
Practice Address - Country:US
Practice Address - Phone:314-729-9995
Practice Address - Fax:314-729-9994
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2024-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2018042909363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant