Individual
LISA ANN MORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 BARNHILL DR, STE 420, INDIANAPOLIS, IN 46202-5112
(317) 278-1122
(317) 278-1820
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000711A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000711A
LICENSE
IN
Enumeration date
07/02/2007
Last updated
02/18/2014
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