AUDREY LEE FAZIO

LAGRANGE, IN
NPI1821850793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71015104A)
Enumeration Date2024-01-26
Last Update Date2024-06-20
Business Address
AUDREY LEE FAZIO NP
2500 N DETROIT ST
LAGRANGE, IN 46761-1158
Phone number: 260-463-2133
Mailing Address
AUDREY LEE FAZIO NP
PO BOX 236
LAGRANGE, IN 46761-0236
Phone number: 260-463-2133
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