Individual
LINDSAY HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010
(484) 337-3583
Mailing address
9910 FRANKLIN SQUARE DR, # 2110, BALTIMORE, MD 21236-4902
(801) 949-7303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06763
MD
363A00000X
Physician Assistant
MA057365
PA
363AM0700X
Medical Physician Assistant
Primary
7138331-1206
UT
Other
Enumeration date
01/05/2015
Last updated
11/04/2021
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