Individual
DR. DAVID MITCHELL LAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11911 N MERIDIAN ST STE 100, CARMEL, IN 46032-6919
(317) 621-6800
(317) 621-6808
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204458
VA
207R00000X
Internal Medicine Physician
Primary
02004160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002668
—
IN
Enumeration date
05/11/2011
Last updated
06/03/2022
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