Provider Demographics
NPI:1265799266
Name:ODELL PFEIFFENBERGER, LINDSAY (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:ODELL PFEIFFENBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:ODELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:728 W LINCOLN HWY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-903-6200
Mailing Address - Fax:610-903-6201
Practice Address - Street 1:728 W LINCOLN HWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-903-6200
Practice Address - Fax:610-903-6201
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD458739207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology