Provider Demographics
NPI:1780757500
Name:LUMNITZ, JANICE S (MD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:S
Last Name:LUMNITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:S
Other - Last Name:BELCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8840 COMMERCE PARK PL STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3129
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8535 N CLEARVIEW DR STE 700
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-6243
Practice Address - Country:US
Practice Address - Phone:317-415-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT34650207Q00000X
IN01076523A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1780757500Medicaid
MT273400OtherRHC
ID1780757500Medicaid
MT011003756Medicare PIN
D23738Medicare UPIN
MT1780757500Medicaid