Individual
MELISSA DAWN LAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-3966
(317) 968-1354
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
01068482A
IN
207SG0203X
Clinical Molecular Genetics Physician
Primary
01068482A
IN
208000000X
Pediatrics Physician
01068482A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001012005
ANTHEM PTAN
IN
05
—
201074250
—
IN
Enumeration date
06/19/2007
Last updated
02/21/2025
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