Individual
LORRAINE M CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8435 CLEARVISTA PLACE, SUITE 101, INDIANAPOLIS, IN 46256
(317) 621-1006
(317) 621-1011
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066260
—
IN
01
—
P01232427
RR MEDICARE PTAN
IN
Enumeration date
12/30/2005
Last updated
06/10/2021
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