Individual
TERRI LITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46208-5019
(317) 931-4300
(317) 931-4330
Mailing address
PO BOX 78158, INDIANAPOLIS, IN 46278-0158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200342400
—
IN
Enumeration date
05/03/2006
Last updated
01/11/2008
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