Individual
MARIA LORENA AQUINO LAVADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 W NEW YORK ST, INDIANAPOLIS, IN 46222-4345
(619) 600-2661
Mailing address
1610 W NEW YORK ST, INDIANAPOLIS, IN 46222-4345
(619) 600-2661
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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