Individual
LAUREN ELIZABETH BRODEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 E 86TH ST, INDIANAPOLIS, IN 46240-2392
(317) 254-9206
Mailing address
1505 E 86TH ST, INDIANAPOLIS, IN 46240-2392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026541A
IN
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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