Organization
LISA FOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE FOX MSN (RN/FNP-C)
(317) 598-8874
Entity
Organization
Contact information
Practice address
7915 PRAIRIE VIEW DR, INDIANAPOLIS, IN 46256
(317) 626-1948
Mailing address
7915 PRAIRIE VIEW DR, 7915 PRAIRIE VIEW DR, INDIANAPOLIS, IN 46256-3493
(317) 598-8874
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
28104395A
IN
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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