Individual
LAUREN HEAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14535A HAZEL DELL PKWY, CARMEL, IN 46033-9401
(317) 705-4360
(317) 705-4361
Mailing address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082108A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201365600
—
IN
Enumeration date
03/31/2016
Last updated
07/16/2021
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