Provider Demographics
NPI:1275747248
Name:LINDAUER, MARILYN ROSE (DC)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:ROSE
Last Name:LINDAUER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:134 PELICAN LN
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6612
Mailing Address - Country:US
Mailing Address - Phone:415-883-3206
Mailing Address - Fax:415-883-3704
Practice Address - Street 1:55 PROFESSIONAL CENTER PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-2755
Practice Address - Country:US
Practice Address - Phone:415-492-2273
Practice Address - Fax:415-883-3704
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor