Individual
MRS. LORPU GBORKORQUELLIE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3426 AYLESFORD LN, INDIANAPOLIS, IN 46228-2880
(317) 293-1104
Mailing address
3426 AYLESFORD LN, INDIANAPOLIS, IN 46228-2880
(317) 293-1104
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28187669A
IN
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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