Individual
MARY CHRISTINE LANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1800 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-0800
(317) 962-0800
Mailing address
1800 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-0800
(317) 962-0800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004274
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71004274
IN
Other
Enumeration date
03/06/2013
Last updated
02/17/2021
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