Individual
LARA KATHRYN WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 SOUTHFIELD DR STE 1220, PLAINFIELD, IN 46168-4499
(317) 838-3443
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066853A
IN
208000000X
Pediatrics Physician
Primary
01066853A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000618966
ANTHEM
IN
01
—
000001024783
INTERNAL MED ANTHEM PIN UNDER TIN 35-2030653
IN
01
—
000001037742
PEDIATRIC ANTHEM PIN UNDER TIN 35-2030653
IN
05
—
200954280
—
IN
Enumeration date
05/21/2007
Last updated
06/23/2025
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