Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 01025405 | IN |
NPI | 1407900962 |
---|---|
Provider Name | Dr. Lucy Jane Mcdowell |
First Address | Muncie, IN 47304-1284 |
Second Address | Muncie, IN 47304-1284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D69470 | (02) | IN |