Healthcare Provider Details

I. General information

NPI: 1285268284
Provider Name (Legal Business Name): LYNDSIE LUJAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSIE SCHINKEL PA-C

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 SAINT FRANCIS DR STE 320
WATERLOO IA
50702-5620
US

IV. Provider business mailing address

1604 OLIVE ST
CEDAR FALLS IA
50613-3716
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-5000
  • Fax: 319-272-8072
Mailing address:
  • Phone: 515-447-8199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number110016
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: