Individual
JONI ANN LASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
990 E STATE ROAD 44, FRANKLIN, IN 46131-9199
(317) 736-8474
(317) 736-6040
Mailing address
990 E STATE ROAD 44, FRANKLIN, IN 46131-9199
(317) 736-8474
(317) 736-6040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001069842
ANTHEM
IN
Enumeration date
12/23/2009
Last updated
09/19/2022
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