Individual
LAURENCE E WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR # 1340, INDIANAPOLIS, IN 46202-5109
(317) 948-7450
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01037646A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087160
ANTHEM
IN
05
—
100113680
—
IN
Enumeration date
07/27/2006
Last updated
03/15/2025
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