Individual
MR. JOHN LACARI NIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2753 FOX POINTE DR, COLUMBUS, IN 47203-3224
(812) 376-9291
(812) 378-8390
Mailing address
2753 FOX POINTE DR, COLUMBUS, IN 47203-3224
(812) 376-9291
(812) 378-8390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035527A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086962
ANTHEM
—
01
—
003708
SIHO
—
01
—
080018882
RR MEDICARE
—
Enumeration date
05/13/2006
Last updated
04/05/2021
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