Individual
LYNN J VATTATHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6831 W 133RD AVE, CEDAR LAKE, IN 46303-8989
(219) 374-5970
(219) 374-7505
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01094818A
IN
208M00000X
Hospitalist Physician
01094818A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
06/10/2025
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