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NPI Code Detail

MEDICARE: ERIC MICHAEL LINDVALL D.O.

MEDICARE:   ERIC MICHAEL LINDVALL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician20A7718CA
2207XX0801XOrthopaedic Trauma Physician20A7718CA

General Provider Information

NPI Number : 1124025325
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MICHAEL LINDVALL D.O.
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 604 N MAGNOLIA AVE STE 100
Second Line :
City : CLOVIS
State : CA
Zip : 93611-9205
Country : US
Telephone Number : 559-320-0531
Fax Number : 559-320-0539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 11/04/2019

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Directions to “ ERIC MICHAEL LINDVALL D.O.” Practice Location

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