Theresa Lynn Menner

NPI #1629779673 in Evansville, Indiana

Provider Information

NPI Number: 1629779673
Entity Type: Individual
Name: Theresa Lynn Menner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 16, 2023
Last Updated: Mar 16, 2023

Practice Location

Address: 6211 WATERFORD BLVD
City: Evansville
State: Indiana
ZIP Code: 47715-2869
Phone: (812) 465-6202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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