Provider Demographics
NPI:1255494621
Name:LINDEMAN, JULIE TOMLINSON (PA - C)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:TOMLINSON
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
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Mailing Address - Street 1:1101 SOMERVILLE RD SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3242
Mailing Address - Country:US
Mailing Address - Phone:256-306-9668
Mailing Address - Fax:256-350-4984
Practice Address - Street 1:101 SIVLEY RD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4421
Practice Address - Country:US
Practice Address - Phone:256-533-8362
Practice Address - Fax:256-533-8262
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-413363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-27641OtherBCBS PROVIDER NUMBER
ALPA-413OtherALABAMA LICENSE NUMBER