Individual
ALYSSA P LANNOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
355 W 16TH ST STE 3200, INDIANAPOLIS, IN 46202-2280
(317) 948-5450
(317) 963-7079
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004529A
IN
363AM0700X
Medical Physician Assistant
10004529A
IN
Other
Enumeration date
09/13/2024
Last updated
09/08/2025
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