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Individual

DR. LAURENCE H BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12188B N MERIDIAN ST, SUITE 200, CARMEL, IN 46032-4840
(317) 927-5770
(317) 927-5792
Mailing address
12188B N MERIDIAN ST, SUITE 200, CARMEL, IN 46032-4840
(317) 927-5770
(317) 927-5792

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01019540A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084987
ANTHEM
05
100259170
IN
01
4233685
AETNA
Enumeration date
03/14/2006
Last updated
08/23/2012
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