Individual
JENNIFER MARIE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2075 RIPLEY ST, LAKE STATION, IN 46405-1161
(219) 962-5311
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27067504A
IN
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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