Individual
SONYA JANSSEN-LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 WALTER SCHOLER DR, LAFAYETTE, IN 47909-6303
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33007174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001095493
ANTHEM PROVIDER NUMBER
IN
Enumeration date
04/06/2016
Last updated
08/10/2017
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