Individual
LUCAS M TEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
404 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46204-2609
(317) 963-2610
(317) 963-2615
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008407A
IN
Other
Enumeration date
10/16/2018
Last updated
06/02/2023
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