Individual
MRS. LAURIE LYNN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46202-1469
(317) 472-6137
(317) 604-8037
Mailing address
7641 FOREST DR, FISHERS, IN 46038-2214
(317) 529-5197
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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