KIMBERLY LUCAITIS

GARY, IN
NPI1164705042
Former NameKIMBERLY GOODRICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28141967A)
Enumeration Date2011-09-27
Last Update Date2016-11-18
Business Address
-- KIMBERLY LUCAITIS FNP
600 GRANT ST
GARY, IN 46402-6001
Phone number: 219-886-4464
Mailing Address
-- KIMBERLY LUCAITIS FNP
600 GRANT ST
GARY, IN 46402-6001
Phone number: 219-886-4464
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