Individual
LYNNEA CARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-076732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067638A
IN STATE LICENSE
IN
Enumeration date
02/20/2007
Last updated
05/16/2022
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