LORA FATHAUER

COLUMBUS, IN
NPI1700853942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71000213A)
Enumeration Date2006-03-07
Last Update Date2021-11-29
Business Address
LORA FATHAUER M.S.N, N.P-C
2326 18TH ST STE 210
COLUMBUS, IN 47201-5362
Phone number: 812-372-8680
Mailing Address
LORA FATHAUER M.S.N, N.P-C
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number:
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