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Individual
LINDSEY POYTHRESS
Active
Individual
LINDSEY POYTHRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04856
NC
363A00000X
Physician Assistant
4941
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409PA
—
SC
01
—
SCQ8816067
MEDICARE PIN
SC
01
—
SCQ8816084
MEDICARE PIN
SC
01
—
SCQ881J577
MEDICARE PIN
SC
Enumeration date
02/21/2014
Last updated
01/03/2024
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