Individual
LAURA BETH PLUCKEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13090 PETIGRU DR, CARMEL, IN 46032-4436
(317) 733-8608
Mailing address
13090 PETIGRU DR, CARMEL, IN 46032-4436
(317) 733-8608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28229989A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014209A
IN
Other
Enumeration date
01/17/2023
Last updated
08/23/2023
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