Individual
TYLER NICOLE LACKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
545 BARNHILL DR STE 215, INDIANAPOLIS, IN 46202-5112
(317) 944-5376
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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