LORD- RE- AN VISMANOS
Contractor
Active
Individual
NPI: 1033497979
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | 9182 (AZ) |
Frequently Asked Questions
NPI 1033497979 is the National Provider Identifier for LORD- RE- AN VISMANOS, a Contractor provider located in Indianapolis, IN. This NPI was enumerated on July 26, 2011.
LORD- RE- AN VISMANOS practices at 5980 W 71ST ST STE 102, Indianapolis, IN 46278.
Quick Facts
- NPI
- 1033497979
- Type
- Individual
- Enumerated
- Jul 26, 2011
- Last Updated
- Jul 26, 2011
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