Provider Demographics
NPI:1598357345
Name:FEUCHT, LINDSAY RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RENEE
Last Name:FEUCHT
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 1:2425 STARGRASS AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9807
Mailing Address - Country:US
Mailing Address - Phone:585-755-3787
Mailing Address - Fax:
Practice Address - Street 1:140 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-1369
Practice Address - Country:US
Practice Address - Phone:937-398-1066
Practice Address - Fax:937-521-1406
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.006894363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant