Individual
LAUREN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5210 E THOMPSON RD, INDIANAPOLIS, IN 46237-2085
(317) 782-7500
(317) 782-7515
Mailing address
PO BOX 781076, DETROIT, MI 48278-4002
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71014376A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014376A
IN
Other
Enumeration date
02/27/2023
Last updated
07/29/2024
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