Individual
DR. LORI J WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082130
ANTHEM-351158723
IN
01
—
000000093035
ANTHEM-352047427
IN
01
—
000000492369
ANTHEM 203778927
IN
01
—
002391
SIHO-352047427
IN
01
—
005570
SIHO-351158723
IN
01
—
052995
HEALTH ALLIANCE-351158723
IN
01
—
071706
HEALTH ALLIANCE-352047427
IN
05
—
100218850
—
IN
01
—
300092225
RR MEDICARE-352047427
IN
01
—
300100887
RR MEDICARE-351158723
IN
01
—
Q0084714
CMOSHO351158723&352047427
IN
Enumeration date
12/13/2005
Last updated
07/11/2023
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