Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 19576 | AZ |
Y | 207SG0201X | Clinical Genetics (M.D.) | 19576 | AZ |
N | 207SG0201X | Clinical Genetics (M.D.) | 27910 | MN |
NPI | 1205806601 |
---|---|
Provider Name | Noralane M Lindor |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 15/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A94913 | (02) |