Provider Demographics
NPI:1174813828
Name:VANDONKELAAR, LINDSAY M (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:M
Last Name:VANDONKELAAR
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6608 WINDFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49444-8769
Mailing Address - Country:US
Mailing Address - Phone:517-420-3949
Mailing Address - Fax:
Practice Address - Street 1:973 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-5228
Practice Address - Country:US
Practice Address - Phone:616-392-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist