Provider Demographics
NPI:1851935449
Name:LAHODA, LINDSAY ALEXANDRA (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALEXANDRA
Last Name:LAHODA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 N BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2159
Mailing Address - Country:US
Mailing Address - Phone:570-677-3258
Mailing Address - Fax:
Practice Address - Street 1:865 EASTON RD STE 150
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-7800
Practice Address - Country:US
Practice Address - Phone:215-343-5900
Practice Address - Fax:215-343-5992
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061110363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant