Basic Information
Provider Information
NPI: 1780265348
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STERLING
FirstName: LINDSAY
MiddleName: ERIN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7801 ABBEY OAKS CT
Address2:  
City: MANASSAS
State: VA
PostalCode: 201124696
CountryCode: US
TelephoneNumber: 5712336162
FaxNumber:  
Practice Location
Address1: 1364 CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221059
CountryCode: US
TelephoneNumber: 8007115444
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/15/2021
LastUpdateDate: 04/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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