Provider Demographics
NPI:1881255743
Name:LINDHORST, STEVEN (LVN)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:LINDHORST
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 JO ANN DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3817
Mailing Address - Country:US
Mailing Address - Phone:916-835-9827
Mailing Address - Fax:
Practice Address - Street 1:3712 JO ANN DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-3817
Practice Address - Country:US
Practice Address - Phone:916-835-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN156654164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1962Medicaid