Provider Demographics
NPI:1114918992
Name:CALIO, LINDSAY ANNE (PA C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANNE
Last Name:CALIO
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:ANNE
Other - Last Name:FELICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:687 UNIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-4717
Mailing Address - Country:US
Mailing Address - Phone:610-444-4469
Mailing Address - Fax:
Practice Address - Street 1:687 UNIONVILLE RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-4717
Practice Address - Country:US
Practice Address - Phone:610-444-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA9103415363AM0700X
PAMA055079363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical