MEDICARE: MSD LAWRENCE TOWNSHIP

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	251300000X	Local Education Agency (LEA)

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

General Provider Information

NPI Number	:	1891026712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSD LAWRENCE TOWNSHIP

Provider Business Mailing Address
First Line	:	7601 E 56TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-1310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 E 56TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46226-1310
Country	:	US
Telephone Number	:	317-423-8230
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	BECKY PARKER
Credential	:
Telephone Number	:	317-423-8230

Provider Enumeration Date	:	01/15/2010
Last Update Date	:	01/15/2010

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Directions to “MSD LAWRENCE TOWNSHIP ” Practice Location

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