Individual
LINDSAY PETRI TOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
117 VIP DR STE 120, WEXFORD, PA 15090-6934
(724) 935-1130
Mailing address
5242 LOTUS WAY, PITTSBURGH, PA 15201-2442
(814) 860-4525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05311
NC
363AM0700X
Medical Physician Assistant
0010-05311
NC
363AM0700X
Medical Physician Assistant
Primary
MA060480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-05311
NORTH CAROLINA MEDICAL BOARD
NC
05
—
1689078776
—
NC
01
—
MA060480
PENNSYLVANIA STATE BOARD OF MEDICINE
PA
Enumeration date
10/17/2014
Last updated
04/07/2020
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