Provider Demographics
NPI:1376923334
Name:INFINITE HEALTH FOCUS DC
Entity Type:Organization
Organization Name:INFINITE HEALTH FOCUS DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-771-8309
Mailing Address - Street 1:8152 ASHWOOD CT.
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4735 STATESMEN DR
Practice Address - Street 2:SUITE E
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-5646
Practice Address - Country:US
Practice Address - Phone:317-771-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002651A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ2590Medicare PIN