Individual
MRS. LORA JANE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
11708 N COLLEGE AVE STE 150, CARMEL, IN 46032-5708
(317) 569-0086
Mailing address
8154 GROTON LN, INDIANAPOLIS, IN 46260-2822
(317) 418-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004294A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200815770
—
IN
Enumeration date
08/13/2006
Last updated
02/16/2023
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