Individual
LAUREN C KISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
401 W MCGALLIARD RD, MUNCIE, IN 47303-1828
(765) 288-6200
(765) 288-4131
Mailing address
401 W MCGALLIARD RD, MUNCIE, IN 47303-1828
(765) 288-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
09/11/2023
Last updated
05/28/2024
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