Lindie Vandevoorde, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2552-046 Issued in WI

Practice address

N22W27847 Edgewater Dr
Suite #102
Pewaukee, WI 53072-5227

Phone

(262) 264-0080

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548380264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N22W27847 EDGEWATER DR",
            "address_2": "SUITE #102",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725227",
            "telephone_number": "262-264-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N22W27847 EDGEWATER DR",
            "address_2": "SUITE #102",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725227",
            "telephone_number": "262-264-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVOORDE",
        "first_name": "LINDIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "2552-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.