Healthcare Provider Details

I. General information

NPI: 1336306778
Provider Name (Legal Business Name): LINDSAY SARAH TARKINGTON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 JONES HOLLOW RD
MARLBOROUGH CT
06447-1448
US

IV. Provider business mailing address

600 SABAL PALM LN APT 105
CHESAPEAKE VA
23320-1742
US

V. Phone/Fax

Practice location:
  • Phone: 860-295-8217
  • Fax:
Mailing address:
  • Phone: 757-353-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: