Provider Demographics
NPI:1437450665
Name:SOMERVILLE, LINDSAY A (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:SOMERVILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:AYERS
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1221 LEE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-5219
Practice Address - Fax:434-924-9720
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101255702207RP1001X, 207RC0200X, 207R00000X
VA550095207R00000X
PAMT197067207R00000X
PAMD448864207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine