Individual
LINDSAY MARIE MELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10111 E 21ST ST N STE 105, WICHITA, KS 67206-3555
(316) 765-1615
Mailing address
10111 E 21ST ST N STE 105, WICHITA, KS 67206-3555
(316) 765-1615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501679
KS
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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