| NPI | 1356883243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA R LOCK Nurse Practitioner, Manager 812-221-0332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 71004143A) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |