MEDICARE: MRS. LINDSAY MARIE LAVATO DPT

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
1	225100000X	Physical Therapist	22300	MD

General Provider Information

NPI Number	:	1801091921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY MARIE LAVATO DPT

Provider Business Mailing Address
First Line	:	130 HOSPITAL RD STE 103
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4029
Country	:	US
Telephone Number	:	410-535-8180
Fax Number	:	410-535-8325

Provider Business Practice Location Address
First Line	:	130 HOSPITAL RD STE 103
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4029
Country	:	US
Telephone Number	:	410-535-8180
Fax Number	:	410-535-8325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	02/10/2026

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