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Lyndsey Kari Van Der Laan

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

This provider is enrolled in PECOS as LYNDSEY VAN DER LAAN.

Based on the most recent information from CMS, provider Lyndsey Kari Van Der Laan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1528412293
Provider Type
Individual
Full Name
Van Der Laan, Lyndsey Kari
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/19/2016
Last Updated
8/5/2022

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

(214) 456-7000

Unlisted Fax

Mailing Location

2913 Vacherie Ln, Dallas, TX 75227-1361

(850) 276-3794

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License S7977 Texas
Code 207PP0204X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 22258 Nevada

Lyndsey Kari Van Der Laan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Reggiardo, Diana B.

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Rajan, Divya Seetharam

Kim, Heidi

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Kinder Referral Physicians

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