Provider Demographics
NPI:1790387553
Name:COHEN-WHITAKER, LINDSEY ELYSE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ELYSE
Last Name:COHEN-WHITAKER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1400 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PECKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18452-2081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN ST
Practice Address - Street 2:
Practice Address - City:PECKVILLE
Practice Address - State:PA
Practice Address - Zip Code:18452-2078
Practice Address - Country:US
Practice Address - Phone:570-307-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2022-01-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant