LISA DIANE WAITCHES

HAMMOND, IN
NPI1831182369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  02002745A)
Enumeration Date2005-08-30
Last Update Date2011-07-20
Business Address
-- LISA DIANE WAITCHES DO
5454 HOHMAN AVE
HAMMOND, IN 46320-1931
Phone number: 219-933-2077
Mailing Address
-- LISA DIANE WAITCHES DO
PO BOX 1000
DYER, IN 46311-0800
Phone number: 219-864-2107
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