Individual
LINDSAY L SHALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16 CHURCH ST, DALLAS, PA 18612-1136
(570) 675-2111
(570) 675-6545
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054085
PA
363A00000X
Physician Assistant
OA002397
PA
Other
Enumeration date
10/08/2009
Last updated
08/06/2020
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