Individual
LORA J FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8925 N MERIDIAN ST, 150, INDIANAPOLIS, IN 46260-2386
(317) 846-1846
Mailing address
PO BOX 4237, CARMEL, IN 46082-4237
(317) 218-2800
(317) 818-8921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000856A
IN
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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