Provider Demographics
NPI:1053826008
Name:TOM, LINDSAY R (PA)
Entity Type:Individual
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First Name:LINDSAY
Middle Name:R
Last Name:TOM
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3700 JOSEPH SIEWICK DR STE 308
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1739
Mailing Address - Country:US
Mailing Address - Phone:703-698-8960
Mailing Address - Fax:703-716-8703
Practice Address - Street 1:3700 JOSEPH SIEWICK DR STE 308
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1739
Practice Address - Country:US
Practice Address - Phone:703-698-8960
Practice Address - Fax:703-716-8703
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2019-05-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant