Individual
LALITHA B MUTNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 S JACKSON ST, FRANKFORT, IN 46041-3313
(765) 656-3000
Mailing address
9588 VALPARAISO CT, INDIANAPOLIS, IN 46268-1130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01055973A
IN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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