Basic Information
Provider Information
NPI: 1003143280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGHES
FirstName: LINDSAY
MiddleName: GOFFREDO
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3435 WINCHESTER RD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042268
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber:  
Practice Location
Address1: 1411 JACOBSBURG RD
Address2:  
City: WIND GAP
State: PA
PostalCode: 180919788
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6104523016
Other Information
ProviderEnumerationDate: 11/10/2009
LastUpdateDate: 11/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOT012902PAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XOS015777PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home