Individual
COURTNEY R CANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 INDUSTRIAL DRIVE, LAWRENCEBURG, IN 47025
(812) 537-5759
(812) 537-9974
Mailing address
PO BOX 4125, LAWRENCEBURG, IN 47025
(812) 537-5759
(812) 537-9974
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01057671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200459830
—
IN
Enumeration date
03/14/2006
Last updated
04/26/2013
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