Individual
LAUREN VANDER WOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MACARTHUR BLVD., SUITE 304, MUNSTER, IN 46321
(219) 836-1060
Mailing address
509 SHAWNEE DR, LOWELL, IN 46356-1652
(219) 680-9027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28180656A
IN
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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