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Organization
LIGHTSTONE EDUCATION CENTER
Active
Organization
LIGHTSTONE EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAUNTESHA HARDY NP (OWNER)
(765) 409-1723
Entity
Organization
Contact information
Practice address
210 PROFESSIONAL CT STE C, LAFAYETTE, IN 47905-5231
(765) 237-9077
Mailing address
4315 COMMERCE DR # 440-190, LAFAYETTE, IN 47905-3822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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