Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 01078456A | IN |
NPI | 1265708333 |
---|---|
Provider Name | Lauren Bader James |
First Address | Indianapolis, IN 46290-1024 |
Second Address | Indianapolis, IN 46260-1972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2012 |
Last Update Date | 20/04/2017 |