Basic Information
Provider Information
NPI: 1194361915
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUZZEO
FirstName: LINDSEY
MiddleName: HANKS
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherLastNameType:  
Mailing Information
Address1: 224D CORNWALL ST NW STE 403
Address2:  
City: LEESBURG
State: VA
PostalCode: 201762704
CountryCode: US
TelephoneNumber: 7037376001
FaxNumber:  
Practice Location
Address1: 44084 RIVERSIDE PKWY STE 300
Address2:  
City: LEESBURG
State: VA
PostalCode: 201765102
CountryCode: US
TelephoneNumber: 7037247530
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/27/2019
LastUpdateDate: 06/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024178448VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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