Basic Information
Provider Information
NPI: 1023236650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINDBERG
FirstName: ANTOINETTE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4800 SAND POINT WAY NE
Address2: ORTHOPAEDICS, W-7706
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069871053
FaxNumber: 2069873852
Practice Location
Address1: 4800 SAND POINT WAY NE
Address2: ORTHOPAEDICS, W-7706
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069871053
FaxNumber: 2069873852
Other Information
ProviderEnumerationDate: 04/20/2007
LastUpdateDate: 07/28/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XA97922CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XMD 60127897WAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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