Individual
LAURA LEE RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1626 E STATE ROAD 44, SUITE B, SHELBYVILLE, IN 46176-4026
(317) 421-2012
(317) 398-1852
Mailing address
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 392-3211
(317) 398-1852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01053144A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01053144
—
IN
01
—
01053144B
CSR
IN
Enumeration date
08/20/2006
Last updated
03/07/2023
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