Individual
LINDSAY R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5703
(540) 562-4278
Mailing address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5703
(540) 562-4278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203035
VA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0102203035
VA
208M00000X
Hospitalist Physician
0102203035
VA
Other
Enumeration date
06/23/2009
Last updated
01/06/2020
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