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Individual

LAWRENCE H EINHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 BARNHILL DR, RT 473, INDIANAPOLIS, IN 46202-5112
(317) 274-3515
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01025049A
IN
207RH0003X
Hematology & Oncology Physician
01025049
IN
207RH0003X
Hematology & Oncology Physician
Primary
01025049A
IN
207RX0202X
Medical Oncology Physician
01025049A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000109742
ANTHEM PTAN
IN
05
100066060
IN
Enumeration date
04/20/2006
Last updated
03/07/2025
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