Provider Demographics
NPI:1184844979
Name:LANDZAAT, LINDY HUNTINGTON (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDY
Middle Name:HUNTINGTON
Last Name:LANDZAAT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LINDY
Other - Middle Name:BETH
Other - Last Name:HUNTINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:KANSAS UNIVERSITY PHYSICIANS INC
Mailing Address - Street 2:3901 RAINBOW BLVD, 4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-2500
Mailing Address - Fax:
Practice Address - Street 1:KU MEDICAL CENTER DIV OF GENERAL &
Practice Address - Street 2:3901 RAINBOW BLVD, MS 1020
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6005
Practice Address - Fax:913-588-3877
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-33869207RH0002X
MO2008036901207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine