Individual
ALEXANDRA LEE DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 S JACKSON ST, FRANKFORT, IN 46041-3313
(765) 656-3000
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01028190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082910
—
IN
Enumeration date
04/03/2006
Last updated
12/11/2014
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