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Individual

DIANA LYNN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6400
Mailing address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(765) 446-6400

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71013528A
IN

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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