Individual
MRS. LACANZA TUNSTALL- PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 510-9577
Mailing address
2856 N RURAL ST, INDIANAPOLIS, IN 46218-2877
(317) 985-7024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27073730A
IN
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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