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Individual

MRS. ALISON MARIE LANIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 46202-5109
(317) 274-4715
(317) 274-2065
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28180896A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71003810A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201184900
IN
Enumeration date
02/29/2012
Last updated
05/05/2014
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