Individual
LINDSAY ROSE IANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS
Contact information
Practice address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529
(541) 347-9196
Mailing address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529
(541) 347-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA220451
OR
Other
Enumeration date
08/01/2023
Last updated
09/03/2024
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