Basic Information
| Provider Information | |||||||||
| NPI: | 1982799938 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDLAU | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | SU | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SU | ||||||||
| OtherFirstName: | DANA | ||||||||
| OtherMiddleName: | YUN | ||||||||
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| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6 PIDGEON HILL DR | ||||||||
| Address2: | SUITE 180 | ||||||||
| City: | STERLING | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201656146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7034508660 | ||||||||
| FaxNumber: | 7034040275 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 PIDGEON HILL DR | ||||||||
| Address2: | SUITE 170 | ||||||||
| City: | STERLING | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201656146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7034508660 | ||||||||
| FaxNumber: | 7034040286 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 0101233210 | VA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.