Provider Demographics
NPI:1265872808
Name:LINDBACK, LAUREN BARBARA
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BARBARA
Last Name:LINDBACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5038 ROWAN RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-3641
Mailing Address - Country:US
Mailing Address - Phone:865-523-6126
Mailing Address - Fax:
Practice Address - Street 1:420 CLINCH AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37902-2101
Practice Address - Country:US
Practice Address - Phone:865-523-6126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator