Individual
DR. LYNDA K OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1818 CAREW ST STE 320, FORT WAYNE, IN 46805-4764
(260) 373-5890
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01066758A
IN
208000000X
Pediatrics Physician
27735
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200399820C
—
KS
Enumeration date
08/09/2006
Last updated
01/23/2023
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