Individual
ROXANNA LEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01080246A
IN
208000000X
Pediatrics Physician
N3824
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01080246A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
51120
CO
390200000X
Student in an Organized Health Care Education/Training Program
TRN8891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001168835
ANTHEM PTAN
IN
01
—
000001448077
ANTHEM PTAN
IN
05
—
300013288
—
IN
Enumeration date
08/16/2007
Last updated
03/13/2025
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