Individual
LYNETTE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8051 S EMERSON AVE, #200, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
(317) 865-2954
Mailing address
100 HOSPITAL LN, STE 100, DANVILLE, IN 46122-1993
(317) 865-2955
(317) 865-2954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001891A
IN
Other
Enumeration date
08/17/2015
Last updated
07/29/2021
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