Lakeshia Denise Anderson
Individual provider Active NPI Contractor · Indianapolis, IN
NPI 1780446708 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1780446708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2346 S Lynhurst Dr BLDG 100
Indianapolis, IN 46241-5171 - Phone
- (317) 927-8830
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2346 S Lynhurst Dr BLDG 100
Indianapolis, IN 46241-5171
Mailing address
2346 S Lynhurst Dr BLDG 100
Indianapolis, IN 46241-5171
Phone (317) 927-8830
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.