Search › Indiana › 122300000X
Lori Shattuck
NPI 1164696357 · on the registry since 2008
Practice
- Address
- 9310 N Meridian St Ste 200
Indianapolis, IN 46260 - Phone
- (317) 846-6125
- Organisation at this address
- Indy Dental Group 93rd, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana