Provider Demographics
NPI:1881855823
Name:WILSON, LINDSAY ANN (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:WILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MASON FARM ROAD, CB #7705
Mailing Address - Street 2:3100 ACC BUILDING, UNC CH
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7705
Mailing Address - Country:US
Mailing Address - Phone:919-966-6989
Mailing Address - Fax:919-843-9355
Practice Address - Street 1:102 MASON FARM ROAD, CB #7705
Practice Address - Street 2:3100 ACC BUILDING, UNC CH
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7705
Practice Address - Country:US
Practice Address - Phone:919-966-6989
Practice Address - Fax:919-843-9355
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC148674390200000X
NC2010-01397207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program