Provider Demographics
NPI:1912419565
Name:DAVIS, LINDSEY N (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:N
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-8822
Mailing Address - Fax:319-384-8811
Practice Address - Street 1:720 PACHA PKWY STE 1
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4797
Practice Address - Country:US
Practice Address - Phone:319-384-8822
Practice Address - Fax:319-356-3949
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2023-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA100675363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant