Individual
MRS. KIRSTEN ELISE LENGACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 LAFAYETTE ST STE 110, FORT WAYNE, IN 46806-1100
(260) 266-0780
Mailing address
2429 DODGE AVE, FORT WAYNE, IN 46805-3831
(517) 898-1392
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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