Individual
CYNTHIA LEMBCKE GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1101 GLENDALE BLVD STE 101, VALPARAISO, IN 46383-3769
(219) 307-4750
(219) 307-4755
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389506
ANTHEM BCBS PROVIDER #
IN
Enumeration date
07/18/2005
Last updated
05/02/2025
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