Provider Demographics
NPI:1649246919
Name:MUSSER, LINDSAY MARIE (PA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:MUSSER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2000 FRONTIS PLAZA BLVD STE 200
Mailing Address - Street 2:ATTN FORSYTH MEDICAL GROUP
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5616
Mailing Address - Country:US
Mailing Address - Phone:336-277-2436
Mailing Address - Fax:
Practice Address - Street 1:ROBINHOOD MEDICAL PLAZA
Practice Address - Street 2:BLDG 200
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-718-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-07-24
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Provider Licenses
StateLicense IDTaxonomies
NC103591363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P78705Medicare UPIN