Individual
LAUREN E SOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8080
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01085751A
IN
207Y00000X
Otolaryngology Physician
125066509
IL
207Y00000X
Otolaryngology Physician
DR.0063806
CO
207YP0228X
Pediatric Otolaryngology Physician
Primary
01085751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001571166
ANTHEM PTAN
IN
05
—
300052760
—
IN
Enumeration date
05/27/2015
Last updated
04/14/2025
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