Healthcare Provider Details

I. General information

NPI: 1265979272
Provider Name (Legal Business Name): LAUREN HARDEN D.C., L.A.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2017
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6194 FOREST VIEW DR
INDIANAPOLIS IN
46228-1374
US

IV. Provider business mailing address

6194 FOREST VIEW DR
INDIANAPOLIS IN
46228-1374
US

V. Phone/Fax

Practice location:
  • Phone: 317-833-8162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002960A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number08002960A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number08002960A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: