Individual
LINDSAY SHANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(720) 638-7500
(720) 321-8041
Mailing address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(720) 638-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA228221
OR
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA.0007744
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000215189
—
CO
Enumeration date
08/30/2021
Last updated
02/09/2026
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