Provider Demographics
NPI:1740566884
Name:GERDEMAN, LINDSAY K (NP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:K
Last Name:GERDEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:GAGNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3113 ROOSEVELT HWY
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-8068
Mailing Address - Country:US
Mailing Address - Phone:802-879-0943
Mailing Address - Fax:
Practice Address - Street 1:3113 ROOSEVELT HWY
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-8068
Practice Address - Country:US
Practice Address - Phone:802-879-0943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0082307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily