Individual
LORI KAYE DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5521 RAY DR, FORT WAYNE, IN 46835-1674
(260) 494-5420
Mailing address
5521 RAY DRIVE, FORT WAYNE, IN 46835-1674
(260) 494-5420
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA0908122
IN
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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