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Individual

LALAINE ANASCO-ENCARGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
729 W 35TH ST, MARION, IN 46953-4215
(219) 616-8563
Mailing address
5980 W 71ST ST, STE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0800
(317) 388-0805

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
2006036868
MO
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/04/2009
Last updated
07/10/2023
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