Individual provider Active NPI

Lauren Olivia Le

  • Physician Assistant
  • Avon, IN
National Provider Identifier
1083528616
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10005334A Issued in IN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.