Individual
LEEANDREA SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2625 E 62ND ST, SUITE 2010, INDIANAPOLIS, IN 46220-3189
(317) 251-6121
(317) 257-0390
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200300160
—
IN
Enumeration date
05/04/2006
Last updated
03/03/2014
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