Healthcare Provider Details

I. General information

NPI: 1699419572
Provider Name (Legal Business Name): LINDSAY MICHELE GRASSO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S NEW ST
DOVER DE
19904-3540
US

IV. Provider business mailing address

640 SOUTH STATE STREET MAIL CODE: 3007
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4070
  • Fax:
Mailing address:
  • Phone: 302-674-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC7-0017938
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: