Individual
LORA KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
7712 SCHWARTZ RD, FORT WAYNE, IN 46835-9406
(260) 705-7015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28117851A
IN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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