Individual
LINDSAY M WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD., ROOM AG001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069654A
IN
207P00000X
Emergency Medicine Physician
11014329A
IN
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
01069654A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000717619
ANTHEM PIN
IN
05
—
201021870
—
IN
Enumeration date
07/10/2008
Last updated
02/22/2021
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