Individual
LORI SIEGERT SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 UNION ST, SUITE 300, LAFAYETTE, IN 47904
(765) 446-0282
(765) 446-8299
Mailing address
2020 UNION ST, SUITE 300, LAFAYETTE, IN 47904
(765) 446-0282
(765) 446-8299
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042461
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008454
RAILROAD MEDICARE
IN
Enumeration date
11/01/2006
Last updated
07/20/2016
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