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Individual

LAUREN LAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11650 LANTERN RD, SUITE 235, FISHERS, IN 46038-2993
(317) 576-8410
Mailing address
11650 LANTERN RD, SUITE 235, FISHERS, IN 46038-2993
(317) 576-8410

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010863A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05010863A
PHYSICAL THERAPY LIOENSE
IN
Enumeration date
08/12/2013
Last updated
08/12/2013
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