LYDIA ROSE MANGAN

INDIANAPOLIS, IN
NPI1992282511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10002502A)
Enumeration Date2018-07-26
Last Update Date2022-07-20
Business Address
LYDIA ROSE MANGAN PA-C
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Phone number: 317-338-7674
Mailing Address
LYDIA ROSE MANGAN PA-C
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260-2006
Phone number: