Individual
ULEN LALAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 EXECUTIVE DR, INDIANAPOLIS, IN 46241-5045
(317) 927-8830
Mailing address
PO BOX 146, CAMBY, IN 46113-0146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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