Individual provider · Type 1 NPI

Lyndsay Clark, PA

Surgical Physician Assistant · Charlotte, NC

NPI number 1174175202 Active

Practice location

225 Baldwin Ave
Charlotte, NC 28204-3109

Other practice locations

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-1255
  • 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 · (704) 355-1813
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 · (704) 446-4490
  • 101 E Wt Harris Blvd, Ste 5500A, Charlotte, NC 28262-3485 · (704) 863-1520

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-09204 (NC)
Surgical Physician Assistant Primary 363AS0400X0010-09204 (NC)
Physician Assistant 363A00000XNone listed

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About NPI 1174175202

Lyndsay Clark, PA's National Provider Identifier is 1174175202, issued on Jul 9, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlotte, NC. The record was last updated on Apr 21, 2022.