Provider Demographics
NPI:1134975436
Name:LINDSEY, TREVA
Entity type:Individual
Prefix:
First Name:TREVA
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 PILOT HOUSE DR STE 500A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4415
Mailing Address - Country:US
Mailing Address - Phone:757-586-5255
Mailing Address - Fax:888-380-7848
Practice Address - Street 1:780 PILOT HOUSE DR STE 500A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4415
Practice Address - Country:US
Practice Address - Phone:757-586-5255
Practice Address - Fax:888-380-7848
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA49D2298702247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician