Individual
MRS. LAURA MARIE MARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2609 LYNN AVE, FORT WAYNE, IN 46805-3839
(260) 615-5595
Mailing address
2609 LYNN AVE, FORT WAYNE, IN 46805-3839
(260) 615-5595
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27057064A
IN
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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