Individual
LYNN ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 BEACON ST, FORT WAYNE, IN 46805-4750
(260) 515-8295
Mailing address
1825 BEACON ST, FORT WAYNE, IN 46805-4750
(260) 515-8295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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