Provider Demographics
NPI:1184332504
Name:GREENE, LINDSAY KATHERINE (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KATHERINE
Last Name:GREENE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3237 BLUE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8010
Mailing Address - Country:US
Mailing Address - Phone:919-781-7500
Mailing Address - Fax:
Practice Address - Street 1:BONDURANT HALL
Practice Address - Street 2:CB #7121
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7121
Practice Address - Country:US
Practice Address - Phone:336-902-6470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-15442207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty