Individual
LEE ALAN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2663
(317) 355-5717
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01061802A
IN
207Q00000X
Family Medicine Physician
22329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867170
—
IN
01
—
P01456881
RRMEDICARE
IN
Enumeration date
11/15/2005
Last updated
04/14/2017
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