Individual
JENNIFER LANTER STEWART
Active
Individual
JENNIFER LANTER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02004014A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000822379
ANTHEM PTAN
IN
05
—
201108320
—
IN
Enumeration date
05/28/2009
Last updated
11/25/2024
Update your record
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