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NPI Code Detail

MEDICARE: BROOKE RENEE LINDSAY PA-C

MEDICARE: BROOKE RENEE LINDSAY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1228187NC

General Provider Information

NPI Number : 1184454043
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE RENEE LINDSAY PA-C
Provider Business Mailing Address
First Line : 1700 TARBORO ST W STE 200
Second Line :
City : WILSON
State : NC
Zip : 27893-3481
Country : US
Telephone Number : 252-399-5310
Fax Number : 252-399-5311
Provider Business Practice Location Address
First Line : 1705 TARBORO ST SW
Second Line :
City : WILSON
State : NC
Zip : 27893-3437
Country : US
Telephone Number : 252-399-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 01/15/2026

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