Provider Demographics
NPI:1750352316
Name:LINDSAY, FRED W (DO)
Entity type:Individual
Prefix:DR
First Name:FRED
Middle Name:W
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ENTERPRISE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6249
Mailing Address - Country:US
Mailing Address - Phone:757-825-2500
Mailing Address - Fax:757-825-2521
Practice Address - Street 1:901 ENTERPRISE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6249
Practice Address - Country:US
Practice Address - Phone:757-825-2500
Practice Address - Fax:757-825-2521
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA50118207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology