Individual
LYNDSIE FRIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4750 W OAKEY BLVD, LAS VEGAS, NV 89102-1535
(702) 877-8330
(702) 259-0128
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 240-8985
(702) 304-4013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0309
NV
363A00000X
Physician Assistant
PA07164
TX
363AS0400X
Surgical Physician Assistant
PA0309
NV
363AS0400X
Surgical Physician Assistant
PA07164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588962773
—
NV
05
—
281537503
—
TX
01
—
866N76
BCBS
TX
01
—
P01031520
RAILROAD MEDICARE
TX
Enumeration date
03/11/2011
Last updated
04/15/2025
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