Individual
DR. MARY LOUISE LINDAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6335 N FRESNO STREET, #206, FRESNO, CA 93710
(559) 432-8852
(559) 432-8895
Mailing address
6335 N FRESNO STREET, #206, FRESNO, CA 93710
(559) 432-8852
(559) 432-8895
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00G533740
CA
207ND0900X
Dermatopathology Physician
00G533740
CA
207NP0225X
Pediatric Dermatology Physician
00G533740
CA
207NS0135X
Procedural Dermatology Physician
00G533740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004431
MEDICARE RAILROAD
CA
Enumeration date
07/19/2007
Last updated
09/27/2012
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