Basic Information
| Provider Information | |||||||||
| NPI: | 1255494621 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDEMAN | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | TOMLINSON | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | P.A. - C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 SOMERVILLE RD SE | ||||||||
| Address2: | |||||||||
| City: | DECATUR | ||||||||
| State: | AL | ||||||||
| PostalCode: | 356013242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2563069668 | ||||||||
| FaxNumber: | 2563504984 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 SIVLEY RD SW | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565338362 | ||||||||
| FaxNumber: | 2565338262 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2006 | ||||||||
| LastUpdateDate: | 11/25/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | PA-413 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
ID Information
| ID | Type | State | Issuer | Description | 515-27641 | 01 | AL | BCBS PROVIDER NUMBER | OTHER | PA-413 | 01 | AL | ALABAMA LICENSE NUMBER | OTHER |