Individual
LYNDA R SIEPKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
(218) 333-5360
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7439
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21967
ND BCBS
ND
01
—
282S3SI
MN BCBS
MN
01
—
4500179
MEDICA
—
01
—
HP53312
HEALTHPARTNERS
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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