Provider Demographics
NPI:1003534769
Name:TYNDLE, LADON
Entity Type:Individual
Prefix:
First Name:LADON
Middle Name:
Last Name:TYNDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 R ST NW APT 402
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-3874
Mailing Address - Country:US
Mailing Address - Phone:202-210-6264
Mailing Address - Fax:
Practice Address - Street 1:1412 DOWNING ST NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3419
Practice Address - Country:US
Practice Address - Phone:202-739-7085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant