Organization
LF EYES LLC
Active
Other names
Linda Fundenberger MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA FUNDENBERGER M.D. (MANAGING MEMBER)
(317) 547-5525
Entity
Organization
Contact information
Practice address
2815 E 38TH ST, INDIANAPOLIS, IN 46218-1229
(317) 547-5525
(317) 543-0948
Mailing address
2815 E 38TH ST, INDIANAPOLIS, IN 46218-1229
(317) 547-5525
(317) 543-0948
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01036129
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176610A
—
IN
Enumeration date
03/30/2015
Last updated
03/30/2015
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