Individual
KRISTA L LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1100, AVON, IN 46123-9627
(317) 272-7500
(317) 272-7515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005361A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000922806
ANTHEM PROVIDER NUMBER
IN
05
—
201278120
—
IN
Enumeration date
12/30/2014
Last updated
10/22/2021
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