Individual
DR. BETHANY LANAE MOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
727 MOON RD, PLAINFIELD, IN 46168-8757
(317) 839-2513
Mailing address
727 MOON RD, PLAINFIELD, IN 46168-8757
(317) 839-2513
(317) 839-2513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227364
NC
208D00000X
General Practice Physician
Primary
02006030A
IN
Other
Enumeration date
04/18/2017
Last updated
10/07/2020
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