Provider Demographics
NPI:1447291588
Name:LINDBORG, KARL J (CPO)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:J
Last Name:LINDBORG
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6463 SLUG GULCH RD
Mailing Address - Street 2:
Mailing Address - City:FAIR PLAY
Mailing Address - State:CA
Mailing Address - Zip Code:95684-9345
Mailing Address - Country:US
Mailing Address - Phone:530-620-0703
Mailing Address - Fax:530-620-9438
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-561-7425
Practice Address - Fax:916-561-7427
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist