Individual
LISA S CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8330 NAAB RD, STE. 135, INDIANAPOLIS, IN 46260-5925
(317) 872-2479
(317) 872-5264
Mailing address
8330 NAAB RD, STE. 135, INDIANAPOLIS, IN 46260-5925
(317) 872-2479
(317) 872-5264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01026208A
IN
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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