Individual
LISA DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 N F ST, MARION, IN 46952-3632
(765) 669-3736
Mailing address
105 N F ST, MARION, IN 46952-3632
(765) 669-3736
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28209138A
IN
Other
Enumeration date
05/07/2018
Last updated
02/12/2020
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