Organization
MSD LAWRENCE TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY PARKER (ADMINISTRATIVE ASSISTANT)
(317) 423-8230
Entity
Organization
Contact information
Practice address
7601 E 56TH ST, INDIANAPOLIS, IN 46226-1310
(317) 423-8230
Mailing address
7601 E 56TH ST, INDIANAPOLIS, IN 46226-1310
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094630
—
IN
Enumeration date
01/15/2010
Last updated
01/15/2010
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