Individual
LISA E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, 1ST FL., INDIANAPOLIS, IN 46202-2872
(317) 692-2339
(317) 692-2847
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086784
ANTHEM
IN
05
—
100103150
—
IN
Enumeration date
05/01/2006
Last updated
11/11/2025
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