MEDICARE: LORI R VASQUEZ PA-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	363A00000X	Physician Assistant	10000650A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01192268	OTHER	IN	RR MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000781451	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1376570507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI R VASQUEZ PA-C

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7250 CLEARVISTA DR
Second Line	:	SUITE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4692
Country	:	US
Telephone Number	:	317-621-5673
Fax Number	:	317-621-6040

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	11/27/2023

Similar Medicare Providers

1912443623 — SHELBY WOOD
Practice Location Address:

7250 CLEARVISTA DR , STE 355
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-5676
Practice Fax:

1215932819 — DR. BASHAR KARAKASH M.D.
Practice Location Address:

7250 CLEARVISTA DR , SUITE 120
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-5676
Practice Fax: 317-621-5678

1194722843 — KEVIN J PUZIO MD
Practice Location Address:

7250 CLEARVISTA DR , SUITE 225
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-537-6088
Practice Fax: 317-537-6092

1407845928 — RICHARD L KAUTZMAN OD
Practice Location Address:

7250 CLEARVISTA DR , SUITE180
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-356-1500
Practice Fax: 317-357-5383

1740385525 — REBECCA H KELLY MD
Practice Location Address:

7250 CLEARVISTA DR , SUITE 327A
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-621-7390
Practice Fax: 317-621-4494

1316016207 — COMMUNITY EYE CARE OF INDIANA, INC
Practice Location Address:

7250 CLEARVISTA DR , STE 180
INDIANAPOLIS, IN
46256-4692

Practice Phone: 317-594-9410
Practice Fax: 317-357-5383

Directions to “ LORI R VASQUEZ PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.