Individual
SUSAN CHACE LOTTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DR STE 3200, INDIANAPOLIS, IN 46256-1782
(317) 621-7780
(317) 621-7783
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01037538A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681404
ANTHEM
IN
01
—
000000780857
ANTHEM
IN
05
—
100130980
—
IN
01
—
P01170034
RR MEDICARE PTAN
IN
Enumeration date
11/28/2005
Last updated
04/07/2026
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