Individual
HUGH LAWRENCE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
213429
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
28181491A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000594858
ANTHEM
IN
01
—
000000735774
ANTHEM PROVIDER NUMBER FOR TIN 35-2030653
IN
05
—
200926410
—
IN
Enumeration date
01/11/2007
Last updated
02/05/2026
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