Individual
DAWN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1411 S CREASY LN STE 200, LAFAYETTE, IN 47905-7434
(765) 446-5417
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
138061
IN
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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