Basic Information
Provider Information
NPI: 1598072498
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDSAY
FirstName: VICTORIA
MiddleName: JOANN
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12725 SE 69TH ST
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731507436
CountryCode: US
TelephoneNumber: 4053979538
FaxNumber:  
Practice Location
Address1: 401 E CARRILLO ST
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931011460
CountryCode: US
TelephoneNumber: 8055633307
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2010
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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