Provider Demographics
NPI:1356530067
Name:CUSHEN, LINDSAY R (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:R
Last Name:CUSHEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2916
Mailing Address - Country:US
Mailing Address - Phone:202-476-2656
Mailing Address - Fax:202-476-7919
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:WW, FL 2.5, SUITE 600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-3058
Practice Address - Fax:202-476-4156
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003133363A00000X
NY012113363AM0700X
DCPA030619363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical