Provider Demographics
NPI:1023236650
Name:LINDBERG, ANTOINETTE (MD)
Entity type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:
Last Name:LINDBERG
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 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:ORTHOPAEDICS, W-7706
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-1053
Mailing Address - Fax:206-987-3852
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:ORTHOPAEDICS, W-7706
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-1053
Practice Address - Fax:206-987-3852
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97922207X00000X
WAMD 60127897207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery