Individual
LORIE L. DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10020 DUPONT CIRCLE CT., SUITE 110, FORT WAYNE, IN 46825-1621
(260) 489-8563
(260) 489-8255
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003369A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010310
—
IN
Enumeration date
10/20/2010
Last updated
09/28/2020
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