Healthcare Provider Details

I. General information

NPI: 1780757500
Provider Name (Legal Business Name): JANICE S LUMNITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE S BELCHER MD

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8535 N CLEARVIEW DR STE 700
MCCORDSVILLE IN
46055-6243
US

IV. Provider business mailing address

8840 COMMERCE PARK PL STE E
INDIANAPOLIS IN
46268-3129
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-6450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34650
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01076523A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: