Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 08002651A | IN |
N | 111NP0017X | Pediatric Chiropractor | 67 | VI |
NPI | 1376802207 |
---|---|
Provider Name | Dr. Loriann Laugle |
First Address | Indianapolis, IN 46268-3740 |
Second Address | Indianapolis, IN 46250-5646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2012 |
Last Update Date | 19/08/2015 |