Provider Demographics
NPI:1194566760
Name:DRASS, LINDSEY (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DRASS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1368 SAINT AUGUSTINE RD
Mailing Address - Street 2:
Mailing Address - City:DYSART
Mailing Address - State:PA
Mailing Address - Zip Code:16636-6200
Mailing Address - Country:US
Mailing Address - Phone:814-505-8384
Mailing Address - Fax:
Practice Address - Street 1:1 ATWELL RD
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-1301
Practice Address - Country:US
Practice Address - Phone:607-547-3471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant