Individual
LISA A KLEINDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2415 MITCHELL RD STE C, BEDFORD, IN 47421-4747
(812) 279-6222
Mailing address
8003 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1946
(317) 576-1335
(317) 343-6562
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000179A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200224670A
—
IN
Enumeration date
10/27/2006
Last updated
02/08/2023
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