Individual provider · Type 1 NPI
Mary E. Lerzak, NP
Adult Health Nurse Practitioner · Indianapolis, IN
NPI number
1912953969
Active
Practice location
1633 N Capitol Ave, Ste 322
Indianapolis, IN 46202-1476
Fax (317) 962-2070
Mailing address
250 N Shadeland Ave, Suite 130 - Provider Enrollment
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71000198A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71000198A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1912953969
Mary E. Lerzak, NP's National Provider Identifier is 1912953969, issued on May 25, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 23, 2013.