Provider Demographics
NPI:1093282022
Name:MICHAELSON, LINDSAY A (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:MICHAELSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ALICE
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1012 SOUTH THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:WA
Mailing Address - Zip Code:99328
Mailing Address - Country:US
Mailing Address - Phone:509-382-3200
Mailing Address - Fax:509-382-2748
Practice Address - Street 1:1012 SOUTH THIRD STREET
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:WA
Practice Address - Zip Code:99328
Practice Address - Country:US
Practice Address - Phone:509-382-3200
Practice Address - Fax:509-382-2748
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61123737363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily