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Organization

BLUE SKIES MEDICAL INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA GUZMAN DNP (PRESIDENT)
(219) 803-2246
Entity
Organization

Contact information

Practice address
2714 169TH ST, HAMMOND, IN 46323-1508
(219) 803-2246
(219) 262-7810
Mailing address
2714 169TH ST, HAMMOND, IN 46323-1508
(219) 803-2246
(219) 262-7810

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
70000128A
IN

Other

Enumeration date
04/07/2014
Last updated
04/07/2014
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