Individual
DR. GENEVIEVE A LANKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 EAST BLVD, WEST WING, ELKHART, IN 46514-2483
(574) 523-2751
(574) 389-4840
Mailing address
PO BOX 660376, INDIANAPOLIS, IN 46266-0376
(574) 523-3148
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054719A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202811
ANTHEM BCBS #
IN
01
—
000000526016
ANTHEM BCBS #
IN
01
—
000000725535
ANTHEM BCBS - FMC
IN
05
—
200356850A
—
IN
Enumeration date
07/15/2005
Last updated
08/31/2011
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