Provider Demographics
NPI:1164615548
Name:WEISS, LINDSAY KATHERINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:KATHERINE
Last Name:WEISS
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 1:1601 E. 19TH AVENUE
Mailing Address - Street 2:SUITE 6400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:303-839-7200
Mailing Address - Fax:303-839-7229
Practice Address - Street 1:1601 E. 19TH AVENUE
Practice Address - Street 2:SUITE 6400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:303-839-7200
Practice Address - Fax:303-839-7229
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2463363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant