Most Relevant Information
Provider Data
| NPI Number: | 1003044694 |
| Provider Name: | LINDSAY R WILSON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207QH0002X |
| Specialty: | Family Medicine |
| License Number: | 0102203035 |
Most Important Dates
| Enumeration Date: | 06/23/2009 |
| Last Updated: | 01/06/2020 |
Provider Practice Location
1314 PETERS CREEK RD NW
ROANOKE
VA
240172500
Practice Location Phone/Fax
| Phone: | 5405625703 |
| Fax: | 5405624278 |
Provider Mailing Location
1314 PETERS CREEK RD NW
ROANOKE
VA
240172500
Provider Mailing Phone/Fax
| Phone: | 5405625703 |
| Fax: | 5405624278 |