Individual
LORI ANN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 963-1300
(317) 222-2012
Mailing address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 963-1300
(317) 222-2012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28223358A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011867A
IN
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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