Healthcare Provider Details

I. General information

NPI: 1689054371
Provider Name (Legal Business Name): LYNDSEY ELIZABETH WESSELS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSEY ELIZABETH KISS M.D.

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-5000
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-2150
  • Fax:
Mailing address:
  • Phone: 410-502-2037
  • Fax: 410-500-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number29380
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0104254
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: