Provider Demographics
NPI:1265309827
Name:DEGARO, LYNDSEY MICHELLE
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:MICHELLE
Last Name:DEGARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 FARRINGTON RD APT 316
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7012
Mailing Address - Country:US
Mailing Address - Phone:513-526-3034
Mailing Address - Fax:
Practice Address - Street 1:5820 FARRINGTON RD APT 316
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7012
Practice Address - Country:US
Practice Address - Phone:513-526-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant