Individual
MRS. LARA KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3978 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 672-4680
(260) 672-4685
Mailing address
3978 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 672-4680
(260) 672-4685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004768A
IN
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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