Provider Demographics
NPI:1285268284
Name:LUJAN, LYNDSIE (PA-C)
Entity type:Individual
Prefix:
First Name:LYNDSIE
Middle Name:
Last Name:LUJAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LYNDSIE
Other - Middle Name:
Other - Last Name:SCHINKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1604 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-3716
Mailing Address - Country:US
Mailing Address - Phone:515-447-8199
Mailing Address - Fax:
Practice Address - Street 1:2710 SAINT FRANCIS DR STE 320
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5620
Practice Address - Country:US
Practice Address - Phone:319-272-5000
Practice Address - Fax:319-272-8072
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA110016363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant