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NPI Code Detail

MEDICARE: LYNDSAY GREEN

MEDICARE: LYNDSAY GREEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1003758962
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSAY GREEN
Provider Business Mailing Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number : 804-508-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ LYNDSAY GREEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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