# LAURUS PRACTITIONERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942977343
- **Authorized official:** MRS. LORI DANIELLE JOHNSON NP (MEDICAL DIRECTOR)
- **Authorized official phone:** (317) 835-9990

## Contact information

- **Practice address:** 2398 SOLIDAGO DR, PLAINFIELD, IN 46168-4821
- **Practice address phone:** (317) 835-9990
- **Practice address fax:** (317) 268-6523
- **Mailing address:** 2398 SOLIDAGO DR, PLAINFIELD, IN 46168-4821
- **Mailing address phone:** (317) 835-9990
- **Mailing address fax:** (317) 268-6523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 08/24/2021