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Individual

MARY LORRAINE MALICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
Mailing address
601 WALL ST., VALPARAISO, IN 46383

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.010129
IL
363LF0000X
Family Nurse Practitioner
Primary
70000085A
IN

Other

Enumeration date
01/31/2007
Last updated
04/04/2025
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