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Individual

JONATHAN BAKER LUPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
(317) 865-3600
(317) 885-3850
Mailing address
8051 S EMERSON AVE, SUITE 400, INDIANAPOLIS, IN 46237-8600
(317) 865-3600

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01045008A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094030A
IN
Enumeration date
09/20/2005
Last updated
03/07/2018
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