Provider Demographics
NPI:1750549952
Name:WILLIAMS, LINDSEY CARR (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:CARR
Last Name:WILLIAMS
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 1:4600 SPOTSYLVANIA PKWY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7762
Mailing Address - Country:US
Mailing Address - Phone:540-850-2416
Mailing Address - Fax:540-498-4907
Practice Address - Street 1:1101 SAM PERRY BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-899-1600
Practice Address - Fax:540-899-1606
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002778363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical