Organization
LOUSEY NITPICKING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI ALFARO (OWNER/TECHNICIAN)
(219) 851-9574
Entity
Organization
Contact information
Practice address
62 TORONTO ST, LA PORTE, IN 46350-2573
(219) 851-9574
Mailing address
62 TORONTO ST, LA PORTE, IN 46350-2573
(219) 851-9574
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/15/2012
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