Provider Demographics
NPI:1629454111
Name:THOMPSON, LINDSAY JEAN
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JEAN
Last Name:THOMPSON
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 1:2800 BARTONS BLUFF LN APT 1904
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7938
Mailing Address - Country:US
Mailing Address - Phone:941-773-0169
Mailing Address - Fax:
Practice Address - Street 1:2800 BARTONS BLUFF LN APT 1904
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7938
Practice Address - Country:US
Practice Address - Phone:941-773-0169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant