Provider Demographics
NPI:1710381611
Name:TWAROG, LINDSAY (NP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:TWAROG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3948 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SHADYSIDE
Mailing Address - State:OH
Mailing Address - Zip Code:43947-1310
Mailing Address - Country:US
Mailing Address - Phone:740-325-1313
Mailing Address - Fax:740-676-4914
Practice Address - Street 1:3948 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SHADYSIDE
Practice Address - State:OH
Practice Address - Zip Code:43947-1310
Practice Address - Country:US
Practice Address - Phone:740-325-1313
Practice Address - Fax:740-676-4914
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA-16718-NP.363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily