Individual
LANCE LACONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1089 3RD AVE SW STE 203, CARMEL, IN 46032-7596
(617) 388-8637
(317) 219-0747
Mailing address
1089 3RD AVE SW STE 203, CARMEL, IN 46032-7596
(617) 388-8637
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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