Provider Demographics
NPI:1285933002
Name:ALIAGA, LINDSEY MARIE (PAC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MARIE
Last Name:ALIAGA
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:BROWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2469 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2469 W HILL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3883
Practice Address - Country:US
Practice Address - Phone:810-407-6039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601005956363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI12380856OtherCAQH