LAWRANCE TINOFARA MUKONA MD
NPI 1376248823
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Lawrance Mukona's NPI number?

The NPI number for Lawrance Mukona is 1376248823. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Lawrance Mukona's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lawrance Mukona was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2023PECOS Enrolled

7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5700 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2023, Apr 4, 2023 (2 updates tracked since 2023).

On this page

About Lawrance Tinofara Mukona Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRANCE TINOFARA MUKONA MD (NPI 1376248823) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023063A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376248823

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLAWRANCE TINOFARA MUKONACredential: MD

Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621

Mailing Address7165 Clearvista WayIndianapolis, IN 46256-4621 · (317) 621-5700

Phone(317) 621-5700

Sole ProprietorNo

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 12, 20232 updates tracked since enumeration

NPPES CertifiedJune 12, 2023

✔ NPI 1376248823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IN · 11023063A

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7165 CLEARVISTA WAY, Indianapolis, IN 46256

Open in Google Maps ↗

Other Identifiers 1

Medicaid300076307IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrance Tinofara Mukona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. YAMEEN ABDUL-NUR CHESTNUT LMFT

Marriage & Family Therapist