Provider Demographics
NPI:1891093241
Name:SMITH, LINDSAY M (DO)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2834
Mailing Address - Country:US
Mailing Address - Phone:570-348-0360
Mailing Address - Fax:570-348-0362
Practice Address - Street 1:1300 WHEELER AVE
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-2834
Practice Address - Country:US
Practice Address - Phone:570-348-0360
Practice Address - Fax:570-348-0362
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017521207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology