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Individual

MARK S LINGENFELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21911
WI
207RP1001X
Pulmonary Disease Physician
Primary
21911
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000560
BLUE CROSS
ME
01
110046890
RAILROAD MEDICARE
ME
05
332530099
ME
01
8CE373
BCBS
TX
Enumeration date
05/10/2006
Last updated
04/16/2026
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