Healthcare Provider Details

I. General information

NPI: 1194110478
Provider Name (Legal Business Name): LINDSAY DAWSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE STE 950
CHEVY CHASE MD
20815-6912
US

IV. Provider business mailing address

5454 WISCONSIN AVE STE 950
CHEVY CHASE MD
20815-6912
US

V. Phone/Fax

Practice location:
  • Phone: 301-657-5700
  • Fax: 301-654-9132
Mailing address:
  • Phone: 301-657-5700
  • Fax: 301-654-9132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD048515
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberMD048515
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberD0089708
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0089708
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: