Individual
LAURIE ANN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 254, AVON, IN 46123-6911
(317) 944-6467
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200618940
—
IN
Enumeration date
07/19/2006
Last updated
11/14/2022
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