Organization
FUNCTIONAL MEDICINE OF CARMEL INC.
Active
Other names
BodylogicMD of Carmel
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNOVA REYNOLDS D.O. (PRESIDENT)
(765) 318-3265
Entity
Organization
Contact information
Practice address
755 W CARMEL DR, SUITE 212, CARMEL, IN 46032-5877
(765) 318-3265
Mailing address
755 W CARMEL DR, SUITE 212, CARMEL, IN 46032-5877
(765) 318-3265
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
02001906A
IN
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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