Doctor Name: | DR. DANNIELLE VONDERLINDEN |
NPI Number: | 1225349574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | PO3420 |
Business Practice Address: | 9010 Lorton Station Blvd Suite 270 Lorton, VA - 220794792 |
Business Phone Number: | 5714188670 |
Business Fax Number: | 5714188671 |
Mailing Address: | 9010 Lorton Station Blvd, Suite 270 LORTON |
State: | VA |
Postal Code: | 220794792 |
Phone Number: | 5714188670 |
Fax Number: | 5714188671 |
NPI Enumeration Date: | 07/01/2010 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3420 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |