LISA M WEAVER

PORTAGE, IN
NPI1679644074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28157609A)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
Mrs. LISA M WEAVER
6450 US HIGHWAY 6
PORTAGE, IN 46368-5110
Phone number: 219-763-8112
Mailing Address
Mrs. LISA M WEAVER
6450 US HIGHWAY 6
PORTAGE, IN 46368-5110
Phone number: 219-763-8112
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