Provider Demographics
NPI:1275544751
Name:LINDGREN, ANN MALM (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MALM
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-530-4800
Mailing Address - Fax:301-530-1847
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE 402
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-530-4800
Practice Address - Fax:301-530-1847
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD51546207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD000064D09Medicare ID - Type Unspecified
F81624Medicare UPIN