Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 45585 | WI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 45585 | WI |
NPI | 1164487591 |
---|---|
Provider Name | Linda Lee L Eckhardt |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53715-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 26/01/2021 |