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Organization

HENDRICKS COUNTY HOSPITAL

Active
Other names
Lizton Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER RUTHERFORD (CREDENTIALING COORDINATOR)
(317) 837-5566
Entity
Organization

Contact information

Practice address
1045 WYATT WAY, LIZTON, IN 46149
(317) 994-6600
(317) 994-6605
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580

Taxonomy

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

Other

Enumeration date
09/20/2006
Last updated
05/28/2024
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