LISA M NICHOLS

CHESTERTON, IN
NPI1063872109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006113A)
Enumeration Date2016-03-02
Last Update Date2020-11-25
Business Address
LISA M NICHOLS FNP
407 W INDIANA AVE
CHESTERTON, IN 46304-2350
Phone number: 219-763-8112
Mailing Address
LISA M NICHOLS FNP
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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