Provider Demographics
NPI:1609917004
Name:LINDSEY, CAROL ANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANNE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL ROAD SUITE 2D
Mailing Address - Street 2:DERMATOLOGY ASSOCIATES OF WORCESTER COUNTY
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453
Mailing Address - Country:US
Mailing Address - Phone:978-534-6519
Mailing Address - Fax:978-534-6519
Practice Address - Street 1:1840 MESQUITE AVE STE G102
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5771
Practice Address - Country:US
Practice Address - Phone:928-719-8400
Practice Address - Fax:661-425-0045
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1429363A00000X
AZ8861363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
8861OtherARIZONA PA LICENSE