Provider Demographics
NPI:1245563089
Name:ECKEL, LINDSEY ERIN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:ERIN
Last Name:ECKEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1347 BECKET RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6113
Mailing Address - Country:US
Mailing Address - Phone:203-794-2412
Mailing Address - Fax:
Practice Address - Street 1:295 STONER AVE STE 102
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5662
Practice Address - Country:US
Practice Address - Phone:410-848-1818
Practice Address - Fax:410-876-3156
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILL007041363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical