| Doctor Name: | DR. RAYMOND JACOB LINDEMAN |
| NPI Number: | 1821295239 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 11429 |
| Business Practice Address: | 16042 Lake Koronis Rd Paynesville, MN - 563629450 |
| Business Phone Number: | 3202433633 |
| Business Fax Number: | 3202437505 |
| Mailing Address: | 16042 Lake Koronis Rd, PAYNESVILLE |
| State: | MN |
| Postal Code: | 563629450 |
| Phone Number: | 3202433633 |
| Fax Number: | 3202437505 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 11429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |