Individual provider · Type 1 NPI

Lindy Mar la Carlstrom, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1306072111 Active

Practice location

1701 N Senate Blvd, Rm B401
Indianapolis, IN 46202-1239

Mailing address

6712 N 2nd St
Loves Park, IL 61111-3702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11014985A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306072111

Lindy Mar la Carlstrom, MD's National Provider Identifier is 1306072111, issued on Jun 8, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 8, 2009.