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Individual

LONZELL ANTHONY RATCLIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11818 HOLZ DR, INDIANAPOLIS, IN 46229-9629
(317) 981-9175
Mailing address
11818 HOLZ DR, INDIANAPOLIS, IN 46229-9629
(317) 981-9175

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
000000
IN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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