Provider Demographics
NPI:1770851321
Name:MANN, LINDSAY KNAPP (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:KNAPP
Last Name:MANN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:ELIZABETH
Other - Last Name:KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1717 S ORANGE AVE
Mailing Address - Street 2:100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2944
Mailing Address - Country:US
Mailing Address - Phone:407-650-7260
Mailing Address - Fax:407-650-7266
Practice Address - Street 1:1717 S ORANGE AVE
Practice Address - Street 2:100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2944
Practice Address - Country:US
Practice Address - Phone:407-650-7260
Practice Address - Fax:407-650-7266
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106293363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical