LAURA D CANNON

PORTAGE, IN
NPI1235634221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IN  71007892A)
Enumeration Date2018-03-29
Last Update Date2021-03-20
Business Address
LAURA D CANNON FNP-C
6375 U S HWY 6
PORTAGE, IN 46368-5218
Phone number: 219-762-3196
Mailing Address
LAURA D CANNON FNP-C
6375 U S HWY 6
PORTAGE, IN 46368-5218
Phone number: 219-762-3196
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