Mary Jo Lauck, RN, BSN, CNOR, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

28063378A Issued in IN

Practice address

5255 E Stop 11 Rd
Indianapolis, IN 46237-6340

Phone

(317) 851-2331

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447386339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BOULDER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173907",
            "telephone_number": "317-783-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E STOP 11 RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376340",
            "telephone_number": "317-851-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCK",
        "first_name": "MARY JO",
        "credential": "RN, BSN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "28063378A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafaela Latour
• Tammy Latterell
• Rebecca Jane Lau, M.D.
• Christine Anne Lauber, ATC
• Kara Nicole Lauck, LCSW
• Lindsey Marie Lauderdale, CCC SLP MA
• Sarah Marie Laudon, MD
• Pauline P Laue, LMHC
• Donald H Lauer, MD
• Erin Kathryn Lauer, PA-C

• Registered Nurse First Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Nurse First Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.