Individual
MRS. LISA PREVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 W 7TH AVE, GARY, IN 46406-1311
(219) 949-4000
(219) 944-8134
Mailing address
5901 W 7TH AVE, GARY, IN 46406-1311
(219) 949-4000
(219) 944-8134
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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