Provider Demographics
NPI:1548305014
Name:LEPAGE, LINDSAY ANN (PA)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:LEPAGE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3400 OLD MILTON PKWY # C
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3707
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:770-442-0306
Practice Address - Street 1:3905 BROOKSIDE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4458
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:770-442-0306
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2024-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA044654363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical