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Philipp Lukas Roehm

Student in an Organized Health Care Education/Training Program in Indianapolis, IN. Individual provider (NPI-1).

NPI number1174414031
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1174414031
Entity type
Individual (NPI-1)
Name
Philipp Lukas Roehm
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2025
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

340 W 10th St
Indianapolis, IN 46202-3082

Phone 317-274-8157

Mailing address

1117 E Market St Apt 511
Indianapolis, IN 46202-4236

Phone 574-323-5627

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