Individual
LISA COLLETTE DANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
342 E 109TH AVE, CROWN POINT, IN 46307-8693
(219) 769-4855
Mailing address
342 E 109TH AVE, CROWN POINT, IN 46307-8693
(219) 769-4855
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7100156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200490390
—
IN
Enumeration date
04/03/2006
Last updated
07/11/2011
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