Individual
DR. LYNN A PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2060 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219
(317) 203-7033
(317) 672-0720
Mailing address
PO BOX 10519, TERRE HAUTE, IN 47801-0519
(317) 203-7033
(317) 672-0720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02002857A
IN
207R00000X
Internal Medicine Physician
036111511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521340
—
IN
01
—
IN3549001
MEDICARE
IN
01
—
P01897981
RR MEDICARE
IN
Enumeration date
02/14/2006
Last updated
07/17/2018
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