Provider Demographics
NPI:1568104362
Name:CITRON, LINDSEY E (VMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:E
Last Name:CITRON
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 PINE ST APT 203
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6097
Mailing Address - Country:US
Mailing Address - Phone:443-386-0873
Mailing Address - Fax:
Practice Address - Street 1:3900 SPRUCE ST RM 1023
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4113
Practice Address - Country:US
Practice Address - Phone:215-573-5895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABV015849207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty