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NPI Code Detail

MEDICARE: DR. ALEXANDRA VON LINDEMAN DO

MEDICARE: DR. ALEXANDRA VON LINDEMAN DO
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
1207Q00000XFamily Medicine Physician45544CO
2207Q00000XFamily Medicine PhysicianOS13503FL

Other Identifiers

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

General Provider Information

NPI Number : 1629146816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRA VON LINDEMAN DO
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MANAGED CARE DEPT.
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4710 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2165
Country : US
Telephone Number : 863-284-5000
Fax Number : 863-413-5807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/26/2022

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