Healthcare Provider Details

I. General information

NPI: 1124227103
Provider Name (Legal Business Name): LINDSAY J LEDWICH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 S HIGHWAY 25 W STE 1
WILLIAMSBURG KY
40769-1608
US

IV. Provider business mailing address

9800B MCKNIGHT RD
PITTSBURGH PA
15237-6020
US

V. Phone/Fax

Practice location:
  • Phone: 606-549-2656
  • Fax:
Mailing address:
  • Phone: 412-301-5015
  • Fax: 252-300-3812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberOS013409
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number34.015482
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number5443
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberOS013409
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number05689
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: