Provider Demographics
NPI:1053919340
Name:LASSITER, LINDSEY LAYMAN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LAYMAN
Last Name:LASSITER
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 1:202 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-2034
Mailing Address - Country:US
Mailing Address - Phone:865-389-7299
Mailing Address - Fax:
Practice Address - Street 1:1229 FOX MEADOWS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-6925
Practice Address - Country:US
Practice Address - Phone:865-635-9487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
TN4361363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical