Individual
MISS DAGNY LAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.
Contact information
Practice address
201 EAST MORTHLAND DRIVE (US RT 30), SUITE 2, VALPARAISO, IN 46350
(219) 531-7479
Mailing address
117 SAGAMORE PARKWAY, LAPORTE, IN 46350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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