Individual
LANA J GLORIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4320 FIR ST, EAST CHICAGO, IN 46312-3052
(219) 836-7723
Mailing address
4320 FIR ST, EAST CHICAGO, IN 46312-3052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28238321A
IN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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