Individual
LISA PORADZISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10012 CALUMET AVE STE A, MUNSTER, IN 46321-4055
(219) 227-5119
Mailing address
10012 CALUMET AVE STE A, MUNSTER, IN 46321-4055
(219) 227-5119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008611A
IN
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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