Individual
DR. LINDA LEWIS LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6319 E US HIGHWAY 36, SUITE 4, AVON, IN 46123-6209
(317) 345-6348
Mailing address
8902 WATERSIDE CIR, INDIANAPOLIS, IN 46278-1158
(317) 345-6348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01028295A
IN
207Q00000X
Family Medicine Physician
01028295A
IN
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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