Individual
AMANDA LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3524 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4486
(317) 925-0693
Mailing address
3524 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4486
(317) 925-0653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003075A
IN
Other
Enumeration date
09/28/2020
Last updated
08/05/2026
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