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Individual

DR. P JILL MCFADDEN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5632 LIBERTY CREEK DR W, INDIANAPOLIS, IN 46254-1036
(317) 299-8942
(317) 299-8942
Mailing address
5632 LIBERTY CREEK DR W, INDIANAPOLIS, IN 46254-1036
(317) 299-8942
(317) 299-8942

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000865A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200112150
IN
Enumeration date
07/14/2006
Last updated
05/24/2016
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