Individual
LAURA EILEEN HOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7950 N SHADELAND AVE, STE 350, INDIANAPOLIS, IN 46250-2699
(317) 621-6900
(317) 621-4460
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005518
—
IN
01
—
P01170033
RR MEDICARE PTAN
IN
Enumeration date
06/16/2010
Last updated
11/27/2023
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