Provider Demographics
NPI:1720383326
Name:TULLY, LINDSAY N (PA)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:N
Last Name:TULLY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2301 HOUSE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3176
Mailing Address - Country:US
Mailing Address - Phone:307-635-4300
Mailing Address - Fax:307-635-4309
Practice Address - Street 1:4017 RAWLINS ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-1800
Practice Address - Country:US
Practice Address - Phone:307-635-2562
Practice Address - Fax:307-635-4309
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2022-11-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant