Individual
LAURA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 SOUTHFIELD DR STE 1220, PLAINFIELD, IN 46168-4499
(317) 838-3443
(317) 838-3444
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068486A
IN
208000000X
Pediatrics Physician
Primary
01068486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990080
—
IN
Enumeration date
06/04/2007
Last updated
03/08/2021
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