Individual
LORI L MUNSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3400
(812) 918-5829
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002730
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
02002730A
IN
207V00000X
Obstetrics & Gynecology Physician
20A12846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540826
MEDICARE PIN
IN
05
—
200530060
—
IN
Enumeration date
08/29/2006
Last updated
07/16/2024
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