Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS041294 | PA |
Y | 213EG0000X | General Practice | DS041294 | PA |
NPI | 1003344631 |
---|---|
Provider Name | Lindsey Cerdas |
First Address | Willow Grove, PA 19090-3608 |
Second Address | Doylestown, PA 18901-3837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2017 |
Last Update Date | 26/05/2017 |