Individual
MISS LAUREN CHRISTINE TANDARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1160 S PERU ST, CICERO, IN 46034-9601
(317) 984-9311
(317) 984-7302
Mailing address
1160 S PERU ST, CICERO, IN 46034-9601
(317) 984-9311
(317) 984-7302
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
207506
PA
363A00000X
Physician Assistant
Primary
10003613A
IN
363A00000X
Physician Assistant
OA005575
PA
363AM0700X
Medical Physician Assistant
MA062365
PA
Other
Enumeration date
07/02/2019
Last updated
10/14/2025
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