Provider Demographics
NPI:1982450391
Name:LAHR, CASIE JO (FNP-C)
Entity Type:Individual
Prefix:
First Name:CASIE
Middle Name:JO
Last Name:LAHR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 SUBURBAN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-8011
Mailing Address - Country:US
Mailing Address - Phone:812-249-4072
Mailing Address - Fax:
Practice Address - Street 1:950 N MERIDIAN ST STE 700
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1236
Practice Address - Country:US
Practice Address - Phone:317-962-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015204A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine