Individual
LAURENCE WALN BEHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 ALBANY ST, SOUTH ENTRANCE GROUND FLOOR, BEECH GROVE, IN 46107-1541
(317) 859-1090
(317) 859-3322
Mailing address
PO BOX 100, BEECH GROVE, IN 46107-0100
(317) 859-1090
(317) 859-3322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01043611A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01043611A
IN
207R00000X
Internal Medicine Physician
01043611A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01043611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027961
M PLAN
IN
01
—
000000341213
ANTHEM
IN
01
—
01043611B
CSR
IN
01
—
10780253
CAQH
IN
Enumeration date
01/22/2007
Last updated
03/07/2023
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