Basic Information
| Provider Information | |||||||||
| NPI: | 1518304898 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OANCEA | ||||||||
| FirstName: | LYNDSAY | ||||||||
| MiddleName: | ALEXANDRA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | LANGBEHN | ||||||||
| OtherFirstName: | LYNDSAY | ||||||||
| OtherMiddleName: | ALEXANDRA | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 121 S SAINT LOUIS BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH BEND | ||||||||
| State: | IN | ||||||||
| PostalCode: | 466172924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5743233123 | ||||||||
| FaxNumber: | 5742333125 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 S SAINT LOUIS BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH BEND | ||||||||
| State: | IN | ||||||||
| PostalCode: | 466172924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5742333123 | ||||||||
| FaxNumber: | 5742333125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2013 | ||||||||
| LastUpdateDate: | 07/23/2019 | ||||||||
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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 | 2085R0202X | 01075570A | IN | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0204X | 01075570A | IN | Y | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
ID Information
| ID | Type | State | Issuer | Description | 300022133 | 05 | IN | MEDICAID |