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Individual

LAWRENCE J BORTENSCHLAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01040211A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200042250
IN
05
6488157600
KY
Enumeration date
08/09/2005
Last updated
02/24/2025
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