Individual
LYNDSAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09204
NC
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
0010-09204
NC
Other
Enumeration date
07/09/2019
Last updated
04/21/2022
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