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General NPI Number Information
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NPI Number | 1033301759
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Entity Type | Individual
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Provider Name | ROXANNA LEFORT MD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 705 RILEY HOSPITAL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5109
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Country | US
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Telephone | 317-962-3886
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Fax | 317-962-8652
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N3824
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01080246A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 51120
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN8891
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 01080246A
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License Number State | IN
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