Individual
MRS. LULA G. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4666 RADNOR ROAD, INDIANAPOLIS, IN 46226-2154
(317) 547-7669
(317) 240-4357
Mailing address
4666 RADNOR ROAD, INDIANAPOLIS, IN 46226-2154
(317) 547-7669
(317) 240-4357
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01019700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20032340
—
IN
Enumeration date
09/30/2006
Last updated
09/22/2015
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