Most Relevant Information
Provider Data
| NPI Number: | 1003556986 |
| Provider Name: | PHILIP LIGHTNER SOWDERS M.DIV.PC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 03/30/2022 |
Provider Practice Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Practice Location Phone/Fax
| Phone: | 1317315032 |
| Fax: |
Provider Mailing Location
7941 CASTLEWAY DR
INDIANAPOLIS
IN
462501953
Provider Mailing Phone/Fax
| Phone: | 1317315032 |
| Fax: |