Individual
MS. NOELLE C LOTTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
938 MEZZANINE DR STE B, LAFAYETTE, IN 47905-8641
(765) 742-1533
(765) 742-1824
Mailing address
2105 WINDFLOWER PL, WEST LAFAYETTE, IN 47906-6616
(765) 441-2096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000599459
ANTHEM PROVIDER NUMBER
IN
05
—
200852880
—
IN
Enumeration date
07/10/2006
Last updated
07/15/2023
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