Individual
DR. XAVIER SENOR LAURENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(562) 303-0855
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11016452A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2012
Last updated
08/18/2015
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