Individual
MRS. LAURIE LYNETTE GONZAGOWSKI-SATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
413 E JEFFERSON BLVD, FORT WAYNE, IN 46802-3201
(260) 426-3250
Mailing address
413 E JEFFERSON BLVD, FORT WAYNE, IN 46802-3201
(260) 426-3250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28148056A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002017A
IN
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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