Individual
HANNAH MARIE LAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W 3RD ST, MADISON, IN 47250-3119
(859) 954-8774
Mailing address
804 W 3RD ST, MADISON, IN 47250-3119
(859) 954-8774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006013A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343710
—
IN
01
—
412840056
MEDICARE
IN
01
—
50105658
KY PASSPORT
KY
01
—
5267906
AETNA
IN
05
—
7100399820
—
KY
01
—
993675
ANTHEM
IN
Enumeration date
12/10/2015
Last updated
01/06/2025
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