Hardisty, Lauren Marie

Hardisty, Lauren Marie is an individual health care provider with primary practice located at 5921 W State Road 46 , Bloomington IN 47404-9359. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hardisty, Lauren Marie can be contacted via phone (812) 935-8866.

Contact Information

Primary practice address
5921 W State Road 46 Bloomington IN 47404-9359
Phone: (812) 935-8866
Fax: (812) 935-8860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01066379A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01066379A Indiana

Profile Details

NPI number 1316107766
LBN Legal business name Hardisty, Lauren Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jan 29th, 2021 - about 3 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 1316107766 NPPES
Indiana MEDICAID 200936080

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