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Individual

MICHELLE RENE LASHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
4040 VINCENNES CIR, INDIANAPOLIS, IN 46268-3027
(855) 992-4672
Mailing address
5966 TIOGA CT, BARGERSVILLE, IN 46106-8451

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71004520A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201210180
IN
Enumeration date
07/30/2013
Last updated
10/14/2025
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