Individual
LISA NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3777 N FRONTAGE RD, MICHIGAN CITY, IN 46360-7695
(219) 809-2889
Mailing address
3777 N FRONTAGE RD, MICHIGAN CITY, IN 46360-7695
(219) 809-2889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12190923
IN
Other
Enumeration date
02/12/2020
Last updated
09/21/2020
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