Individual
BREANNA NIKKOLE LINDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4388
(940) 764-6724
Mailing address
4405 UNIVERSITY AVE, WICHITA FALLS, TX 76308-2422
(940) 224-3766
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00908
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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