Individual
LAUREN HARMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
413 E JEFFERSON BLVD, FORT WAYNE, IN 46802-3251
(260) 426-3250
Mailing address
PO BOX 123, HUNTERTOWN, IN 46748-0123
(260) 415-6967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28188773A
IN
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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