Individual
BRIANA IRENE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004343A
IN
363A00000X
Physician Assistant
PA.0006014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101855430
ANTHEM PTAN
IN
05
—
300090146
—
IN
Enumeration date
10/24/2019
Last updated
01/08/2025
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