Provider Demographics
NPI:1104061431
Name:FOSS, LINDSEY CATHERINE (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CATHERINE
Last Name:FOSS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:CATHERINE
Other - Last Name:COLBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:57 RIVA-VUE RD
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05906-9467
Mailing Address - Country:US
Mailing Address - Phone:603-631-0720
Mailing Address - Fax:
Practice Address - Street 1:133 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NH
Practice Address - Zip Code:03584-3073
Practice Address - Country:US
Practice Address - Phone:603-631-0720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2904363AM0700X
NH363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical