Healthcare Provider Details

I. General information

NPI: 1588581953
Provider Name (Legal Business Name): LINDSAY MORGAN DOUGHERTY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

441 E CHOCOLATE AVE
HERSHEY PA
17033-1324
US

IV. Provider business mailing address

191 SCHAEFFER RD
LEBANON PA
17042-9737
US

V. Phone/Fax

Practice location:
  • Phone: 717-533-7850
  • Fax:
Mailing address:
  • Phone: 717-454-8602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036342
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: