LYNDSAY CLARK PA NPI 1174175202

NPI Information

NPI: 1174175202
Provider Name: LYNDSAY CLARK, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
Phone: (704) 376-1605
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Lyndsay Clark, PA is a surgical physician assistant in Charlotte, NC with 5 years of experience. Lyndsay Clark, PA NPI is 1174175202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204-109
Phone: (704) 376-1605

The NPI 1174175202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0010-09204	NORTH CAROLINA	No
2	363AS0400X	Physician Assistant	Surgical	0010-09204	NORTH CAROLINA	Yes
3	363A00000X	Physician Assistant				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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