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Individual

ELICIA LAUREN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256
(317) 621-5890
Mailing address
513 E 11TH ST, INDIANAPOLIS, IN 46202-2627

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01068940A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201106030
IN
Enumeration date
06/24/2009
Last updated
10/08/2025
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