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Individual

LORRI C WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362-5000
(765) 599-3100
Mailing address
10847 JESSIE CIR, INDIANAPOLIS, IN 46236-7720

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004081A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201085170
IN
Enumeration date
08/07/2012
Last updated
09/10/2020
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