MARY E LERZAK NP NPI 1912953969

NPI Information

NPI: 1912953969
Provider Name: MARY E LERZAK, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1633 N CAPITOL AVE
STE 322
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-2929
Get Directions

Mary E Lerzak, NP is an adult health nurse practitioner in Indianapolis, IN. Mary E Lerzak, NP NPI is 1912953969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1633 N CAPITOL AVE
STE 322
INDIANAPOLIS, IN
ZIP 46202-476
Phone: (317) 962-2929
Fax: (317) 962-2070

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		71000198A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	71000198A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	264430124	MEDICARE PIN	INDIANA
2	S58015	MEDICARE UPIN	INDIANA
3	715530AD	MEDICARE PIN	INDIANA
4	200189720	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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