Individual
JEAN M LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 W 103RD ST STE 1300, INDIANAPOLIS, IN 46290-1018
(317) 688-3690
(317) 688-3779
Mailing address
200 W 103RD ST STE 1300, INDIANAPOLIS, IN 46290-1018
(317) 688-3690
(317) 688-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28144178A
IN
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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