Individual
DR. MIRANDA RENEE LINDBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11125 DUNN RD, DEPT OTOLARYNGOLOGY, STE 201, SAINT LOUIS, MO 63136-6132
(314) 362-7509
(314) 362-1618
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7509
(314) 362-1618
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2022028293
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062202
—
MO
Enumeration date
06/21/2017
Last updated
11/25/2025
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