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LORRAINE KAY WIDDALL CNS

Surgery Yellow Pages

Munster, Indiana

Provider NPI: 1740230531

Provider Information:
 LORRAINE KAY WIDDALL CNS


Practice Location:
8317 CALUMET AVE  MUNSTER, IN 46321 US
Tel: 219-513-2333  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y364SM0705XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Medical-Surgical
IN28087637A

Other Provider Identifiers:

IssuerNumberStateType
200473170IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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