Healthcare Provider Details

I. General information

NPI: 1225484157
Provider Name (Legal Business Name): HANNAH LAGMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7209 N SHADELAND AVE
INDIANAPOLIS IN
46250-2021
US

IV. Provider business mailing address

7209 N SHADELAND AVE
INDIANAPOLIS IN
46250-2021
US

V. Phone/Fax

Practice location:
  • Phone: 317-288-7606
  • Fax:
Mailing address:
  • Phone: 317-288-7606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: