MEDICARE: ANDREW J LIND

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
1	224P00000X	Prosthetist	PS00000475	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427243468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW J LIND

Provider Business Mailing Address
First Line	:	401 S SHERMAN ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-6001
Country	:	US
Telephone Number	:	509-624-1308
Fax Number	:	509-455-5618

Provider Business Practice Location Address
First Line	:	401 S SHERMAN ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-6001
Country	:	US
Telephone Number	:	509-624-1308
Fax Number	:	509-455-5618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/26/2013

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