Provider Demographics
NPI:1922447796
Name:MCKAY, LANA SUE (NP-C)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:SUE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 S DELAWARE ST
Mailing Address - Street 2:LILLY CORPORATE CENTER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46225-1782
Mailing Address - Country:US
Mailing Address - Phone:317-433-1749
Mailing Address - Fax:317-276-1733
Practice Address - Street 1:893 S DELAWARE ST
Practice Address - Street 2:LILLY CORPORATE CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1782
Practice Address - Country:US
Practice Address - Phone:317-433-1749
Practice Address - Fax:317-276-1733
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28092213A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily