Healthcare Provider Details

I. General information

NPI: 1093072894
Provider Name (Legal Business Name): LYNDSI KAY MEYENBURG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11113 RESEARCH BLVD
AUSTIN TX
78759-5236
US

IV. Provider business mailing address

11113 RESEARCH BLVD
AUSTIN TX
78759-5236
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-6641
  • Fax:
Mailing address:
  • Phone: 512-324-6641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2011020700
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number53982
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: