Individual
LISA CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1427 W 86TH ST, SUITE 152, INDIANAPOLIS, IN 46260-2103
(317) 771-1140
(317) 780-5532
Mailing address
1427 W 86TH ST, SUITE 152, INDIANAPOLIS, IN 46260-2103
(317) 771-1140
(317) 780-5532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001627A
IN
Other
Enumeration date
07/20/2006
Last updated
01/24/2013
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