Individual
MRS. LAUREN D FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 LAKEFRONT CT, CARMEL, IN 46032-5893
(317) 926-3739
Mailing address
875 AIRPORT PKWY, GREENWOOD, IN 46143-1085
(317) 926-3739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99039119A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ANTHEM
IN
Enumeration date
09/14/2009
Last updated
08/25/2022
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