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Individual

ANTHONY LATHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNM

Contact information

Practice address
7120 CLEARVISTA DR STE 5900, INDIANAPOLIS, IN 46256-1714
(317) 621-1338
(317) 621-9211
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000104
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200522920
IN
Enumeration date
11/09/2005
Last updated
11/27/2023
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