Individual
LAURA COUNSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7444 BANCASTER DR, INDIANAPOLIS, IN 46268-5712
(513) 364-9119
Mailing address
7444 BANCASTER DR, INDIANAPOLIS, IN 46268-5712
(513) 364-9119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077035A
IN
Other
Enumeration date
03/19/2013
Last updated
10/12/2023
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