Provider Demographics
NPI:1053879239
Name:LINGARDO, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LINGARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4854 BRANTFORD CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5502
Mailing Address - Country:US
Mailing Address - Phone:513-805-8009
Mailing Address - Fax:
Practice Address - Street 1:4854 BRANTFORD CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5502
Practice Address - Country:US
Practice Address - Phone:513-805-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer