Individual
LINDSAY KATHERINE SUMMERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1960 N OGDEN ST STE 550, DENVER, CO 80218-3676
(303) 812-6850
(303) 812-6859
Mailing address
1960 N OGDEN ST STE 550, DENVER, CO 80218-3676
(303) 812-6850
(303) 812-6859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060031
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103568388
—
PA
01
—
14367800
CAQH
—
Enumeration date
08/21/2018
Last updated
09/16/2021
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