Healthcare Provider Details

I. General information

NPI: 1194654210
Provider Name (Legal Business Name): LEAD PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14681 THOR RUN DR
FISHERS IN
46040-9693
US

IV. Provider business mailing address

8245 E 96TH ST, PMB #1094
INDIANAPOLIS IN
46256-1013
US

V. Phone/Fax

Practice location:
  • Phone: 317-452-0890
  • Fax:
Mailing address:
  • Phone: 317-452-0890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH THOMAS VARNAU
Title or Position: CO-FOUNDER
Credential: MD
Phone: 317-452-0890