Provider Demographics
NPI:1326270034
Name:AGUERO, LINDSAY ALICE (NP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALICE
Last Name:AGUERO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ALICE
Other - Last Name:HORLACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2250 IVY RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903
Mailing Address - Country:US
Mailing Address - Phone:434-654-4550
Mailing Address - Fax:
Practice Address - Street 1:2250 IVY RD
Practice Address - Street 2:STE. 200
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903
Practice Address - Country:US
Practice Address - Phone:434-654-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP01390728Medicare PIN
VAVV9682AMedicare PIN