Individual
LAUREN REDDITI HANZLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12036 N MICHIGAN RD STE 200, ZIONSVILLE, IN 46077-8782
(317) 733-0926
(317) 733-0950
Mailing address
10972 ALLISONVILLE RD STE 110, FISHERS, IN 46038-2639
(317) 913-2363
(317) 913-2360
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12011390A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201360900
—
IN
Enumeration date
04/15/2014
Last updated
09/16/2020
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