Individual
LINDSAY BELK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8040 CLEARVISTA PKWY STE 500, INDIANAPOLIS, IN 46256-5604
(317) 355-8326
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001392A
IN
363AS0400X
Surgical Physician Assistant
10001392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007505
—
IN
01
—
M147140130
MEDICARE
IN
Enumeration date
09/18/2007
Last updated
03/13/2024
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