Individual
AUDRA LUCILLE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1100, AVON, IN 46123-9627
(317) 272-7500
(317) 272-7515
Mailing address
5492 N RONALD REAGAN PKWY, BROWNSBURG, IN 46112-5618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Enumeration date
07/19/2018
Last updated
10/18/2022
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