Provider Demographics
NPI:1790988392
Name:NEAL, LINDSEY R (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:R
Last Name:NEAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:CAROL
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:423 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4727
Mailing Address - Country:US
Mailing Address - Phone:434-325-5239
Mailing Address - Fax:434-484-1711
Practice Address - Street 1:423 8TH ST NE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4727
Practice Address - Country:US
Practice Address - Phone:434-325-5239
Practice Address - Fax:434-484-1711
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA101411Medicare PIN