Individual
SHELBY P LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 W OAK ST STE 101, ZIONSVILLE, IN 46077-3835
(317) 733-6300
(317) 733-6315
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01087410A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027839
—
IN
Enumeration date
04/02/2019
Last updated
10/11/2023
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