Individual
LANE MICHAEL SAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, APRN, AGPCNP-BC
Contact information
Practice address
1633 N CAPITOL AVE STE 300, INDIANAPOLIS, IN 46202-1467
(317) 962-2700
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28251354A
IN
363LA2100X
Acute Care Nurse Practitioner
71011450A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
1831783299
IN
Other
Enumeration date
08/31/2020
Last updated
03/06/2024
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