Individual
KRISTIN LA FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.D.
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-5000
Mailing address
PO BOX 3024, EVANSVILLE, IN 47730-3024
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01073406A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2011
Last updated
07/16/2019
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