Healthcare Provider Details

I. General information

NPI: 1689134496
Provider Name (Legal Business Name): CADEARA LYNN LINDENFELSER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 REDMOND RD NW
ROME GA
30165-1415
US

IV. Provider business mailing address

632 KENT LN APT 60C
MYRTLE BEACH SC
29579-3242
US

V. Phone/Fax

Practice location:
  • Phone: 706-802-3020
  • Fax:
Mailing address:
  • Phone: 412-512-0671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberFL-OS19177
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS19177
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: