Provider Demographics
NPI:1871706085
Name:DAVAGE, LINDSAY WRIGHTSON (NP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:WRIGHTSON
Last Name:DAVAGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:MARIE
Other - Last Name:WRIGHTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5530 WISCONSIN AVE STE 520
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-941-3090
Mailing Address - Fax:240-465-3061
Practice Address - Street 1:5530 WISCONSIN AVE STE 520
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-941-3090
Practice Address - Fax:240-465-3061
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR226097363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health