Jordan Tyler Lakes, MSOT
Jordan Tyler Lakes, MSOT is a Community Health Worker in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2016
Practice location Address checks out
9190 Priority Way West DrIndianapolis, IN 46240-6426
Phone: (317) 805-4963
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 31006064A (IN) |
|---|
Record details
| NPI number | 1962856104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSOT |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2016 |
| Last updated in NPPES | April 13, 2016 |
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