Active NPI
Lauren Olivia Le
- Physician Assistant
- Avon, IN
National Provider Identifier
1083528616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10005334A
- Practice address
- 1115 N Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911 - Phone
- (317) 944-6467
- Fax
- (317) 963-7085
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10005334A | IN | Primary |
Addresses
Primary practice location
1115 N Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911
Mailing address
1115 N Ronald Reagan Pkwy Ste 254
Avon, IN 46123-6911
Phone (317) 944-6467
Other practice location 1
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 217-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1083528616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N RONALD REAGAN PKWY STE 254",
"city": "AVON",
"state": "IN",
"postal_code": "461236911",
"telephone_number": "317-944-6467",
"fax_number": "317-963-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N RONALD REAGAN PKWY STE 254",
"city": "AVON",
"state": "IN",
"postal_code": "461236911",
"telephone_number": "317-944-6467",
"fax_number": "317-963-7085"
}
],
"practiceLocations": [
{
"address_1": "1111 N Ronald Reagan Pkwy",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461237085",
"country_code": "US",
"telephone_number": "317-217-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "LAUREN",
"middle_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10005334A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.