Provider Demographics
NPI:1063684884
Name:LINDEMANN, DAWN MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:LINDEMANN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 N 35TH ST
Mailing Address - Street 2:APT 3
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-1880
Mailing Address - Country:US
Mailing Address - Phone:920-286-2128
Mailing Address - Fax:
Practice Address - Street 1:1528 N 35TH ST
Practice Address - Street 2:APT 3
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-1880
Practice Address - Country:US
Practice Address - Phone:920-286-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38344200Medicaid