Basic Information
| Provider Information | |||||||||
| NPI: | 1922067586 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZLATNISKI | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | KRISTINE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BACHMANN | ||||||||
| OtherFirstName: | LYNN | ||||||||
| OtherMiddleName: | KRISTINE | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 660058 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462660058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177803333 | ||||||||
| FaxNumber: | 3177803345 | ||||||||
| Practice Location | |||||||||
| Address1: | 10701 ALLIANCE DR | ||||||||
| Address2: | |||||||||
| City: | CAMBY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178567337 | ||||||||
| FaxNumber: | 3178567363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 01048885A | IN | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.