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Individual

ALLISON R AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3774 BAYLEY DR, STE B, LAFAYETTE, IN 47905-8651
(765) 807-8180
(765) 807-8181
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28207326A
IN
363L00000X
Nurse Practitioner
Primary
71007252A
IN

Other

Enumeration date
04/25/2017
Last updated
03/22/2021
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