Individual
MRS. LINDSEY RANDLE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 524-2650
Mailing address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 524-2650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002077
CT
363A00000X
Physician Assistant
PA030374
DC
363AS0400X
Surgical Physician Assistant
Primary
2077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061200871
UNITED HEALTHCARE
CT
01
—
1831315738
ANTHEM BCBS
CT
01
—
9043574
AETNA
CT
Enumeration date
04/18/2007
Last updated
03/13/2012
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