Individual
MR. LAWRENCE S TAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2835 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 926-0283
(855) 326-4293
Mailing address
2839 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2147
(317) 924-1300
(855) 326-4293
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01027881A
IN
Other
Enumeration date
01/11/2019
Last updated
11/04/2024
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