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Individual

MRS. LINDSAY S POWELL

Active
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Individual

MRS. LINDSAY S POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1240
SC
363AM0700X
Medical Physician Assistant
LL1240
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0702PA
SC
05
2277
SC
05
PA4110
SC
Enumeration date
09/19/2007
Last updated
09/28/2022
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