Individual
LANA S DBEIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11016129A
IN
207RI0200X
Infectious Disease Physician
Primary
01076595A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102550
—
IN
Enumeration date
07/05/2011
Last updated
03/13/2025
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