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Individual

MRS. LESLIE LAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
801 MACARTHUR BLVD STE 401, MUNSTER, IN 46321-2919
(219) 836-7713
(219) 836-7083
Mailing address
801 MACARTHUR BLVD STE 401, MUNSTER, IN 46321-2919
(219) 836-7713
(219) 836-7083

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012470A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300060871
IN
Enumeration date
03/15/2022
Last updated
09/26/2024
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