Provider Demographics
NPI:1497551527
Name:HEINZMANN, LINA
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:
Last Name:HEINZMANN
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 1:1221 HATHAWAY RISING
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3943
Mailing Address - Country:US
Mailing Address - Phone:248-563-3576
Mailing Address - Fax:
Practice Address - Street 1:1221 HATHAWAY RISING
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3943
Practice Address - Country:US
Practice Address - Phone:248-563-3576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer