Provider Demographics
NPI:1922371889
Name:LINDERMAN, LAURA LEE (D C)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LEE
Last Name:LINDERMAN
Suffix:
Gender:F
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3691
Mailing Address - Country:US
Mailing Address - Phone:972-255-2225
Mailing Address - Fax:972-255-0905
Practice Address - Street 1:3636 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3691
Practice Address - Country:US
Practice Address - Phone:972-255-2225
Practice Address - Fax:972-255-0905
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor