Individual
LINDSAY JO DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1228 E RUSHOLME ST, DAVENPORT, IA 52803-2453
(563) 421-7540
(563) 421-7549
Mailing address
62 CRESTWOOD TER, DAVENPORT, IA 52803-3719
(412) 605-8843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08667
NC
363A00000X
Physician Assistant
021905
NY
363A00000X
Physician Assistant
MA058491
PA
Other
Enumeration date
10/04/2016
Last updated
08/30/2023
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