Healthcare Provider Details

I. General information

NPI: 1396871877
Provider Name (Legal Business Name): DONALD CHRISTOPHER LINDAUER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WALTER WARD BLVD STE 300
ABINGDON MD
21009-1286
US

IV. Provider business mailing address

890 GITTINGS CT
ABINGDON MD
21009-3017
US

V. Phone/Fax

Practice location:
  • Phone: 410-777-8971
  • Fax: 877-595-7180
Mailing address:
  • Phone: 410-515-7364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC01434
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: