Healthcare Provider Details
I. General information
NPI: 1942500343
Provider Name (Legal Business Name): LINDSAY T. SEDDON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2010
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
510 INDEPENDENCE PKWY STE 600
CHESAPEAKE VA
23320-5220
US
IV. Provider business mailing address
6160 KEMPSVILLE CIR SUITE 200 A
NORFOLK VA
23502-3933
US
V. Phone/Fax
- Phone: 757-513-9046
- Fax: 757-622-7022
- Phone: 757-622-6315
- Fax: 757-625-6940
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 0110003436 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: