Individual
KATELYN JEAN LAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNL, FNP-C
Contact information
Practice address
112 HOSPITAL LN STE 301, DANVILLE, IN 46122-1998
(317) 718-9028
(317) 386-5468
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5570
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28229474A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009099A
IN
Other
Enumeration date
06/03/2019
Last updated
03/19/2021
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