2400 32ND AVE S
FARGO, ND 58103-5800 US PECOS Enrolled
Overview
Lindsey Jo Dahl is a Internal Medicine Physician in the FARGO area and has over 20 years of experience. Lindsey Jo Dahl primary office location is at 2400 32ND AVE S and new patients are welcome to contact this healthcare provider for an appointment. She attended Creighton University School Of Medicine and graduated 2004
Lindsey Jo Dahl is affiliated with seven hospitals in the FARGO area, including . The NPI number is 1962529446 and the information was updated approximately 12 years ago.
Lindsey Jo Dahl is affiliated with one medical group in the FARGO area, SANFORD MEDICAL CENTER FARGO.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 11583 | ND |
| 2004015384 | MO |
| Board Certifications |
|---|
| Geriatric Medicine |
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 15367 | ND |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | ND | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | MO | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20101007000592 |
| PECOS Individual PAC ID: | 9335200864 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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