Individual
LORI HABERMEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9465 COUNSELORS ROW, SUITE 200, INDIANAPOLIS, IN 46240-6423
(317) 417-6081
(317) 215-0231
Mailing address
404 FLOWERY BRANCH CT, VILLA RICA, GA 30180-5548
(317) 417-8061
(317) 215-0231
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IN
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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