Individual
MRS. CARMEN LAGAYE BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1050 W 72ND ST, INDIANAPOLIS, IN 46260-4037
(317) 946-5602
Mailing address
1050 W 72ND ST, INDIANAPOLIS, IN 46260-4037
(317) 946-5602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28165253A
IN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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