MEDICARE: LINDSAY LEE MACCATHERINE PA

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
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	PA07348	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376832527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY LEE MACCATHERINE PA

Provider Business Mailing Address
First Line	:	749 MILES AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-2902
Country	:	US
Telephone Number	:	406-697-5170
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 POLY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-1739
Country	:	US
Telephone Number	:	406-657-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2011
Last Update Date	:	11/20/2012

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