Individual
MS. LINDSAY PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA1278
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002351301
PTAN
ME
01
—
01-0376890
PINES HEALTH SERVICES
ME
Enumeration date
06/27/2011
Last updated
09/17/2019
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