Provider Demographics
NPI:1124336003
Name:BALDWIN, LINDSAY MARIE (PA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:DAVIS; GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 W 12TH AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801
Mailing Address - Country:US
Mailing Address - Phone:620-340-6181
Mailing Address - Fax:620-340-6182
Practice Address - Street 1:1301 W 12TH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801
Practice Address - Country:US
Practice Address - Phone:620-340-6181
Practice Address - Fax:620-340-6182
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant