Provider Demographics
NPI:1255324026
Name:GOLDEN, LINDSAY IRA (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:IRA
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 W DIAMOND AVE
Mailing Address - Street 2:STE. 120
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1417
Mailing Address - Country:US
Mailing Address - Phone:301-963-6334
Mailing Address - Fax:301-869-7204
Practice Address - Street 1:818 W DIAMOND AVE
Practice Address - Street 2:STE. 120
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1417
Practice Address - Country:US
Practice Address - Phone:301-963-6334
Practice Address - Fax:301-869-7204
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035985207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E22121Medicare ID - Type Unspecified
E22121Medicare UPIN