Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS013409 | PA |
NPI | 1124227103 |
---|---|
Provider Name | Dr. Lindsay J Ledwich |
First Address | Wexford, PA 15090 |
Second Address | Wexford, PA 15090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 15/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1029061210001 | (05) | PA |