JORDAN TYLER LAKES MSOT
NPI 1962856104
Community Health Worker in Indianapolis, IN
About Jordan Tyler Lakes Msot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN TYLER LAKES MSOT (NPI 1962856104) is an individual community health worker in Indianapolis, Indiana, licensed in Indiana (31006064A) and active in the NPI registry since April 2016.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Lakes's NPI number?
The NPI number for Jordan Lakes is 1962856104. It was assigned to this individual provider in the NPPES registry on April 13, 2016.
Where is Jordan Lakes located?
Jordan Lakes practices at 9190 Priority Way West Dr, Indianapolis, IN 46240. The listed phone number is (317) 805-4963.
What is Jordan Lakes's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Jordan Lakes was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.