Individual
LYNN A WITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 300, MUNCIE, IN 47303-3421
(765) 281-2000
(765) 281-2062
Mailing address
412 S TURNBERRY LN, YORKTOWN, IN 47396-9232
(765) 281-2000
(765) 281-2062
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01036903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100379100A
—
IN
Enumeration date
03/09/2006
Last updated
05/19/2010
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