Individual
LYNNETTE JASPER DURUZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(219) 985-2128
Mailing address
6111 HARRISON ST, MERRILLVILLE, IN 46410-2969
(219) 985-2128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010636
IL
Other
Enumeration date
09/10/2013
Last updated
10/19/2016
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