# GB LAWRENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gorman & Bunch Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902332935
- **Authorized official:** TIFFANY HARTMAN (HR)
- **Authorized official phone:** (765) 662-0018

## Contact information

- **Practice address:** 10820 PENDLETON PIKE, SUITE B, INDIANAPOLIS, IN 46236-2897
- **Practice address phone:** (317) 815-9310
- **Mailing address:** 14555 HAZEL DELL PKWY, SUITE 140, CARMEL, IN 46033-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | IN | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017