Provider Demographics
NPI:1588981617
Name:MILLIGAN, LINDSAY BETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:BETH
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:BETH
Other - Last Name:O'DONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:627 RANDALL ROAD
Mailing Address - Street 2:HAMPDEN COUNTY CORRECTIONAL CENTER, HEALTH SERVICES
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056
Mailing Address - Country:US
Mailing Address - Phone:413-547-8000
Mailing Address - Fax:413-589-0912
Practice Address - Street 1:627 RANDALL ROAD
Practice Address - Street 2:HAMPDEN COUNTY CORRECTIONAL CENTER, HEALTH SERVICES
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056
Practice Address - Country:US
Practice Address - Phone:413-547-8000
Practice Address - Fax:413-589-0912
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA3949363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant