Individual
DEBRA L LANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 865-5433
(317) 865-5148
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28057664
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002595
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200423620
—
IN
Enumeration date
11/02/2006
Last updated
02/10/2009
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