Healthcare Provider Details

I. General information

NPI: 1124336003
Provider Name (Legal Business Name): LINDSAY MARIE BALDWIN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY MARIE DAVIS; GARRETT

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 12TH AVE SUITE 105
EMPORIA KS
66801
US

IV. Provider business mailing address

1301 W 12TH AVE SUITE 105
EMPORIA KS
66801
US

V. Phone/Fax

Practice location:
  • Phone: 620-340-6181
  • Fax: 620-340-6182
Mailing address:
  • Phone: 620-340-6181
  • Fax: 620-340-6182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: