Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECA L MAYNARD, DO
ActiveREBECA L MAYNARD, DO is a Sports Medicine (IM) healthcare provider located in LEBANON, Indiana. NPI 1144712597 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · LEBANON, IN
Registration Details
- NPI Number
- 1144712597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2018 (8.2415994666785 yrs)
- Last Updated
- Oct 11, 2023
- Licenses
-
02006860A (IN)02006860A (IN)
Practice Information
- Address
-
2705 N LEBANON ST STE 265LEBANON, IN, 460528622Browse IN providers · Browse ZIP 46052
- Phone
- 7654858830
- Fax
- 7654858839
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.