Individual
LISA M MOLENGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2501 VALLEY DR, VALPARAISO, IN 46383-2518
(219) 323-3311
Mailing address
2501 VALLEY DR, VALPARAISO, IN 46383-2518
(121) 323-3311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28155950A
IN
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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