Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNN J VATTATHARA, MD
ActiveLYNN J VATTATHARA, MD is a Family Medicine healthcare provider located in CEDAR LAKE, Indiana. NPI 1720668957 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CEDAR LAKE, IN
Registration Details
- NPI Number
- 1720668957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2021 (5.3380012091975 yrs)
- Last Updated
- Jun 10, 2025
- Licenses
-
01094818A (IN)01094818A (IN)
Practice Information
- Address
-
6831 W 133RD AVECEDAR LAKE, IN, 463038989Browse IN providers · Browse ZIP 46303
- Phone
- 2193745970
- Fax
- 2193747505
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CEDAR LAKE, IN
| Name | Credential | NPI |
|---|---|---|
| JON D MISCH | D.O. | 1790767465 |
| JAMES EDWARD CARLSON | D.O. | 1518031475 |
| SAMI ISMAIL | DO | 1033670385 |
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.