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Individual

ROGER R LENKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8801 N MERIDIAN ST, SUITE #209, INDIANAPOLIS, IN 46260-2396
(317) 846-6775
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3119
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01043056
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100466550B
IN
Enumeration date
09/06/2006
Last updated
06/24/2008
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