Provider Demographics
NPI:1972910149
Name:FAY, LYNDSAY (PA-C)
Entity Type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:
Last Name:FAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:
Other - Last Name:HOCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:750 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-363-0100
Mailing Address - Fax:610-363-3923
Practice Address - Street 1:750 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-363-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA6044363A00000X
PAMA062530363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant