Individual
LORA D DEFREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1215 LAWN AVE STE 100, ELKHART, IN 46514-2450
(574) 293-2893
(574) 293-1298
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021977
—
IN
Enumeration date
11/15/2018
Last updated
05/12/2025
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