Provider Demographics
NPI:1386945822
Name:LINDAUER, KELLEE FRANCINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KELLEE
Middle Name:FRANCINE
Last Name:LINDAUER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 CALLE TULIPAN
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6610
Mailing Address - Country:US
Mailing Address - Phone:805-373-8335
Mailing Address - Fax:805-522-4163
Practice Address - Street 1:1855 COCHRAN ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2263
Practice Address - Country:US
Practice Address - Phone:805-522-8063
Practice Address - Fax:805-522-4163
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA59218OtherBOARD OF PHARMACY LICENSE