Basic Information
Provider Information
NPI: 1871135038
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRIST
FirstName: LINDSAY
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6201 GREENLEIGH AVE
Address2:  
City: MIDDLE RIVER
State: MD
PostalCode: 212202004
CountryCode: US
TelephoneNumber: 4109336423
FaxNumber: 4105004266
Practice Location
Address1: 2041 GEORGIA AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200600002
CountryCode: US
TelephoneNumber: 2028656239
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/09/2019
LastUpdateDate: 08/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA031675DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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