Provider Demographics
NPI:1386876159
Name:WALTERS, EMMA LUCINDA (MBBS)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:LUCINDA
Last Name:WALTERS
Suffix:
Gender:F
Credentials:MBBS
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Mailing Address - Street 1:550 UNIVERSITY BLVD
Mailing Address - Street 2:ATTENTION MAGGIE MCINTOSH, IU HOSPITAL #4100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5149
Mailing Address - Country:US
Mailing Address - Phone:317-224-5417
Mailing Address - Fax:
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:ATTENTION MAGGIE MCINTOSH, IU HOSPITAL #4100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-224-5417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11015018A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology