Provider Demographics
NPI:1467969105
Name:PREISNER, LYNSEY MARIE
Entity Type:Individual
Prefix:
First Name:LYNSEY
Middle Name:MARIE
Last Name:PREISNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WADSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236
Mailing Address - Country:US
Mailing Address - Phone:804-330-4901
Mailing Address - Fax:
Practice Address - Street 1:8262 ATLEE ROAD SUITE 202
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116
Practice Address - Country:US
Practice Address - Phone:804-559-6194
Practice Address - Fax:804-559-4485
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant