Individual
DIANE MARIE GORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1400 S LAKE PARK AVE STE 205, HOBART, IN 46342-6791
(219) 942-8620
(219) 942-6356
Mailing address
1400 S LAKE PARK AVE STE 205, HOBART, IN 46342-6791
(219) 942-8620
(219) 942-6356
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28062518A
IN
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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