Individual
LAUREN NICOLE PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-6262
Mailing address
5275 THRASHER DR, INDIANAPOLIS, IN 46254-3565
(317) 498-9428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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