Individual
LINDSAY L. GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1910 HIGHWAY 35, OAKHURST, NJ 07755-2715
(732) 531-0100
(732) 531-0144
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 831-7270
(903) 793-0496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00205100
NJ
Other
Enumeration date
11/24/2008
Last updated
03/23/2018
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