Individual
ELANA LAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-8434
Mailing address
857 INDIGO WAY APT C, INDIANAPOLIS, IN 46260-4574
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
LDR170189
IN
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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