RENEE LYNN LAX

GARY, IN
NPI1265636476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: IN  71001140A)
Enumeration Date2007-06-12
Last Update Date2007-07-08
Business Address
Mrs. RENEE LYNN LAX N.P.
215 BROADWAY
GARY, IN 46402-1221
Phone number: 219-888-4221
Mailing Address
Mrs. RENEE LYNN LAX N.P.
18820 WHITE OAK AVENUE
LOWELL, IN 46356
Phone number: 219-888-4221
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