Individual
LINDSAY MAYE MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-8050
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0004205
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0004205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14155061
—
CO
01
—
PA0004205
CO PA LICENSE
CO
Enumeration date
09/27/2012
Last updated
02/01/2024
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