Individual
LISA L. DORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2525 W UNIVERSITY AVE STE 504, MUNCIE, IN 47303-3409
(765) 289-7444
Mailing address
1217 S RANGELINE RD, CARMEL, IN 46032-2519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10041553
OR
363LF0000X
Family Nurse Practitioner
Primary
28168625A
IN
363LF0000X
Family Nurse Practitioner
AP61627858
WA
Other
Enumeration date
01/21/2021
Last updated
04/09/2025
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