Individual
LORI LAUTENSCHLAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6437 RUCKER RD, INDIANAPOLIS, IN 46220-4885
(317) 405-9016
Mailing address
6437 RUCKER RD, INDIANAPOLIS, IN 46220-4885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006243A
IN
Other
Enumeration date
11/22/2016
Last updated
10/23/2019
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