Provider Demographics
NPI:1174591432
Name:SMIRZ, LYNDA A (MD)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:A
Last Name:SMIRZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11725 ILLINOIS STREET
Mailing Address - Street 2:SUITE 350
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032
Mailing Address - Country:US
Mailing Address - Phone:317-814-4500
Mailing Address - Fax:317-814-4699
Practice Address - Street 1:11725 ILLINOIS STREET
Practice Address - Street 2:SUITE 350
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-814-4500
Practice Address - Fax:317-814-4699
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01029844A207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B29557Medicare UPIN
IN222120BMedicare PIN