Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 01029844A | IN |
NPI | 1174591432 |
---|---|
Provider Name | Lynda A Smirz |
First Address | Carmel, IN 46032 |
Second Address | Carmel, IN 46032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 25/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B29557 | (02) |