Provider Demographics
NPI:1396776662
Name:GRIFFIN, LINDSAY DUNLOP (PA)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DUNLOP
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601643
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1643
Mailing Address - Country:US
Mailing Address - Phone:704-302-8000
Mailing Address - Fax:
Practice Address - Street 1:1025 MOREHEAD DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2965
Practice Address - Country:US
Practice Address - Phone:704-302-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00197363AM0700X
NC0010-00197363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8102845Medicaid
SC0570PAMedicaid
NCNC9904AMedicare PIN
NC2766894AMedicare PIN
NC2766894CMedicare PIN