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Individual

MRS. RENEE LYNN LAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
215 BROADWAY, GARY, IN 46402-1221
(219) 888-4221
(219) 888-4197
Mailing address
18820 WHITE OAK AVENUE, LOWELL, IN 46356
(219) 888-4221
(219) 888-4197

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
71001140A
IN

Other

Enumeration date
06/12/2007
Last updated
07/08/2007
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