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Individual

LINDSEY ELIZABETH PORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
11051 STATE ROAD 101, BROOKVILLE, IN 47012-8836
(765) 547-4231
(765) 547-1414
Mailing address
1100 REID PARKWAY, PAYOR ENROLLMENT, RICHMOND, IN 47374
(765) 935-8802

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01092090A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300085335
IN
Enumeration date
06/18/2013
Last updated
11/07/2025
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