Organization
GB LAWRENCE LLC
Active
Other names
Gorman & Bunch Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARTMAN (HR)
(765) 662-0018
Entity
Organization
Contact information
Practice address
10820 PENDLETON PIKE, SUITE B, INDIANAPOLIS, IN 46236-2897
(317) 815-9310
Mailing address
14555 HAZEL DELL PKWY, SUITE 140, CARMEL, IN 46033-7000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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