Individual
LAURIE LYNN ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR RM 1134, INDIANAPOLIS, IN 46202-5109
(317) 944-6201
(317) 944-6279
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01057250A
IN
2086S0120X
Pediatric Surgery Physician
01057250A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000638981
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
05
—
200867490
—
IN
Enumeration date
08/18/2006
Last updated
05/05/2025
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