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Individual

LAUREN CANTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
326 S WOODSCREST DR, BLOOMINGTON, IN 47401-5314
(812) 353-6888
Mailing address
6363 OXBOW WAY, INDIANAPOLIS, IN 46220-7109
(317) 691-4760

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002638A
IN

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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