Provider Demographics
NPI:1780981233
Name:SCHIELLERD, LINDSEY RYAN (PA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RYAN
Last Name:SCHIELLERD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2045 ASHER CT
Mailing Address - Street 2:STE 200
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8444
Mailing Address - Country:US
Mailing Address - Phone:517-324-7020
Mailing Address - Fax:151-732-4702
Practice Address - Street 1:612 W LAKE LANSING RD
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8528
Practice Address - Country:US
Practice Address - Phone:517-324-7020
Practice Address - Fax:517-324-7021
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2017-01-25
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Provider Licenses
StateLicense IDTaxonomies
MI5601005948363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant