Individual
LAUREN REISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
2009 MCCORD RD, VALPARAISO, IN 46383-3815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006622B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201401690
—
IN
Enumeration date
10/07/2016
Last updated
01/31/2024
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