MEDICARE: MS. LINDSAY NOELLE MARSHALL 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	0110008055	VA

General Provider Information

NPI Number	:	1548804784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSAY NOELLE MARSHALL PA

Provider Business Mailing Address
First Line	:	7607 FOREST AVE STE 220
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4646
Country	:	US
Telephone Number	:	804-285-9416
Fax Number	:	804-282-4251

Provider Business Practice Location Address
First Line	:	7607 FOREST AVE STE 220
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4646
Country	:	US
Telephone Number	:	804-285-9416
Fax Number	:	804-282-4251

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	07/17/2024

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