MEDICARE: DR. LORIANN LAUGLE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NP0017X	Pediatric Chiropractor	08002651A	IN
2	111NP0017X	Pediatric Chiropractor	67	VI

General Provider Information

NPI Number	:	1376802207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORIANN LAUGLE D.C.

Provider Business Mailing Address
First Line	:	8152 ASHWOOD CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-3740
Country	:	US
Telephone Number	:	317-771-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	4735 STATESMEN DR
Second Line	:	STE. E
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-5646
Country	:	US
Telephone Number	:	317-771-8309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2012
Last Update Date	:	08/19/2015

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