Individual
LORA ANN BEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
Mailing address
12310 PARRISH AVE, CEDAR LAKE, IN 46303-8845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002027A
IN
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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