Healthcare Provider Details

I. General information

NPI: 1003779638
Provider Name (Legal Business Name): LINDSAY PAGE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 KATHRYN ST
INDIANA PA
15701-1218
US

IV. Provider business mailing address

850 HOSPITAL RD STE 1300
INDIANA PA
15701-3662
US

V. Phone/Fax

Practice location:
  • Phone: 814-619-5109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN674274
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: