Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 01066075A | IN |
NPI | 1013077825 |
---|---|
Provider Name | Mrs. Lindsay M Ligler |
First Address | Fort Wayne, IN 46825-2393 |
Second Address | Fort Wayne, IN 46825-2393 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200939710 | (05) | IN |