Provider Demographics
NPI:1548804784
Name:MARSHALL, LINDSAY NOELLE (PA)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:NOELLE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:7607 FOREST AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4646
Mailing Address - Country:US
Mailing Address - Phone:804-285-9416
Mailing Address - Fax:804-282-4251
Practice Address - Street 1:7607 FOREST AVE STE 220
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4646
Practice Address - Country:US
Practice Address - Phone:804-285-9416
Practice Address - Fax:804-282-4251
Is Sole Proprietor?:No
Enumeration Date:2019-10-31
Last Update Date:2024-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110008055363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant