Provider Demographics
NPI:1861657413
Name:LINDSTROM, BETH ANN (CNIM)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:LINDSTROM
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
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Mailing Address - Street 1:4600 S ULSTER ST STE 1225
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2696
Mailing Address - Country:US
Mailing Address - Phone:720-287-3093
Mailing Address - Fax:720-287-3195
Practice Address - Street 1:10233 S PARKER RD STE 105
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9314
Practice Address - Country:US
Practice Address - Phone:720-287-3093
Practice Address - Fax:720-287-3195
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZE0600X
CO246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic