Individual
DR. SARAH CHRISTINE LACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11725 N ILLINOIS ST STE 595, CARMEL, IN 46032-3011
(317) 688-5626
(317) 688-5627
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078451A
IN
207Q00000X
Family Medicine Physician
35.099847
OH
207Q00000X
Family Medicine Physician
47197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201250360
—
IN
Enumeration date
04/27/2009
Last updated
12/01/2020
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