Individual
WILLIAM J LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 OAKLANDON RD, SUITE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
(317) 621-1110
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-0868
(317) 621-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312795
ANTHEM
IN
05
—
100121870A
—
IN
01
—
P00990139
RR MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
11/27/2023
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