Individual
JARA LYNN SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10122 E 10TH ST STE 220, INDIANAPOLIS, IN 46229-2664
(317) 355-2200
Mailing address
1718 LORA ST, ANDERSON, IN 46013-2742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F06180782
IN
Other
Enumeration date
01/10/2019
Last updated
11/27/2023
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