Provider Demographics
NPI:1861044240
Name:GELBER, LINDSEY ANNE (PA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANNE
Last Name:GELBER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ANNE
Other - Last Name:GELBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LINDSEY GELBER, PA-C
Mailing Address - Street 1:47 WISTERIA PL
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2814
Mailing Address - Country:US
Mailing Address - Phone:949-463-1775
Mailing Address - Fax:
Practice Address - Street 1:24221 CALLE DE LA LOUISA STE 200
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3642
Practice Address - Country:US
Practice Address - Phone:949-463-1775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant