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Individual

DR. THEODORE J LINGENFELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3610 BREMEN HWY, MISHAWAKA, IN 46544-6500
(574) 254-2510
(574) 254-2565
Mailing address
51618 MEADOW POINTE, GRANGER, IN 46530-5125
(574) 326-9884

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26029859A
IN

Other

Enumeration date
10/14/2022
Last updated
10/14/2022
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