Provider Demographics
NPI:1649775180
Name:BRETTMANN, LINDSAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:K
Last Name:BRETTMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15822 FOOTHILL FARMS LOOP
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3422
Mailing Address - Country:US
Mailing Address - Phone:512-978-9840
Mailing Address - Fax:512-901-9768
Practice Address - Street 1:15822 FOOTHILL FARMS LOOP
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3422
Practice Address - Country:US
Practice Address - Phone:512-978-9840
Practice Address - Fax:512-901-9768
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT6198208000000X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program