Provider Demographics
NPI:1699002485
Name:SMITH, LINDSAY CATHERINE (PAC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CATHERINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1336
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-9336
Mailing Address - Country:US
Mailing Address - Phone:330-825-2355
Mailing Address - Fax:330-706-0213
Practice Address - Street 1:1309 NORTON AVE
Practice Address - Street 2:STE. 100
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-9517
Practice Address - Country:US
Practice Address - Phone:330-825-2355
Practice Address - Fax:330-706-0231
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.003002RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant