Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 37177 | MN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 37177 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | 37177 | MN |
NPI | 1164498127 |
---|---|
Provider Name | Paula Ann Lindhorst |
First Address | St Cloud, MN 56303-2735 |
Second Address | St Cloud, MN 56303-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 25/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
350824200 | (05) | MN |
F91813 | (02) |