NPI 1154747913

Walter Litzlbauer

Practitioner Driver Indianapolis, IN

Practice location

Address: 338 N Holmes Ave, Indianapolis, IN 46222-3702
Phone: (317) 602-8046

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 0920283760 (IN)

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Registry record

NPI: 1154747913
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2014
Record last updated: 17 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.