Individual
LINDY MAR LA CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, RM B401, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Mailing address
6712 N 2ND ST, LOVES PARK, IL 61111-3702
(815) 742-6848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11014985A
IN
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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