Organization
LYNN PITTMAN DO INTERNAL MEDICINE ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN PITTMAN DO (PHYSICIAN)
(812) 241-4749
Entity
Organization
Contact information
Practice address
3363 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-3415
(317) 924-4545
Mailing address
3140 N WINDMILL CT, TERRE HAUTE, IN 47805-8627
(812) 241-4749
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
02002857A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521340
—
IN
Enumeration date
06/29/2017
Last updated
03/17/2018
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