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Individual

CATHERINE ANN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 N. RITTER AVENUE,, SUITE 370, INDIANAPOLIS, IN 46219-3098
(317) 355-1144
(317) 355-1155
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000743A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300007571
IN
01
P01170032
RR MEDICARE PTAN
IN
Enumeration date
06/17/2006
Last updated
11/27/2023
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