Individual
LAUREN E CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
575 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5272
(317) 944-7728
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004530A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098041
—
IN
Enumeration date
09/14/2024
Last updated
12/08/2025
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