Provider Demographics
NPI:1205061967
Name:STEWART, LINDSAY R (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:R
Last Name:STEWART
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:SCHNUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-284-4060
Mailing Address - Fax:724-284-4144
Practice Address - Street 1:127 ONEIDA VALLEY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2239
Practice Address - Country:US
Practice Address - Phone:724-968-5355
Practice Address - Fax:724-285-1274
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052274363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant