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NPI Code Detail

MEDICARE: MISS ELIZABETH MARIE LINDNER OTR

MEDICARE: MISS ELIZABETH MARIE LINDNER OTR
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
1225X00000XOccupational Therapist102479MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1254T6L1OTHERMNBCBS MN
2HP43067OTHERMNHEALTH PARTNERS

General Provider Information

NPI Number : 1992918601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELIZABETH MARIE LINDNER OTR
Provider Business Mailing Address
First Line : 2541 XYLON AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55426-2470
Country : US
Telephone Number : 763-458-0620
Fax Number : 952-955-2010
Provider Business Practice Location Address
First Line : 512 49TH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55430-3621
Country : US
Telephone Number : 952-955-2242
Fax Number : 952-955-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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