Healthcare Provider Details

I. General information

NPI: 1689044919
Provider Name (Legal Business Name): LINDSEY MONTI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY STANLEY

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BLUFFS BLVD
OSSIPEE NH
03814
US

IV. Provider business mailing address

9 WASHINGTON ST
PEMBROKE MA
02359-1832
US

V. Phone/Fax

Practice location:
  • Phone: 781-269-1991
  • Fax:
Mailing address:
  • Phone: 617-755-1547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3646
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: