Provider Demographics
NPI:1669095972
Name:FLATAU, LINDY (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:LINDY
Middle Name:
Last Name:FLATAU
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:KAY
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1310 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:IA
Mailing Address - Zip Code:50548-1112
Mailing Address - Country:US
Mailing Address - Phone:515-332-1627
Mailing Address - Fax:515-332-4324
Practice Address - Street 1:1310 10TH AVE N
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:IA
Practice Address - Zip Code:50548-1112
Practice Address - Country:US
Practice Address - Phone:515-332-1627
Practice Address - Fax:515-332-4324
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist