Porter, Lula G.

Porter, Lula G. is an individual health care provider with primary practice located at 4666 Radnor Road , Indianapolis IN 46226-2154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Porter, Lula G. can be contacted via phone (317) 547-7669.

Contact Information

Primary practice address
4666 Radnor Road Indianapolis IN 46226-2154
Phone: (317) 547-7669
Fax: (317) 240-4357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 01019700A Indiana

Profile Details

NPI number 1780777177
LBN Legal business name Porter, Lula G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Sep 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780777177 NPPES
Indiana MEDICAID 20032340

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