Individual
MARK LASHAWN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0242
Mailing address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013260A
IN
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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