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Individual
LINDSEY MARIE FREDERICKSEN
Active
Individual
LINDSEY MARIE FREDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-119097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255678520
—
IA
Enumeration date
01/07/2013
Last updated
01/20/2014
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