Individual
JULIA LANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5715 DECATUR BLVD, INDIANAPOLIS, IN 46241-9561
(317) 455-2366
Mailing address
5715 DECATUR BLVD, INDIANAPOLIS, IN 46241-9561
(317) 455-2366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01094610A
IN
208000000X
Pediatrics Physician
47645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201264250
—
IN
05
—
7100315590
—
KY
Enumeration date
05/30/2008
Last updated
11/20/2024
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