Individual
LISA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 770-2800
Mailing address
11456 WAR ADMIRAL DR, NOBLESVILLE, IN 46060-4423
(317) 446-6692
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
156457
IN
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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