Individual
LORRIE MAMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
901 MACARTHUR BLVD, NEURO ICU, MUNSTER, IN 46321-2901
(219) 836-1600
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71013836A
IN
Other
Enumeration date
02/16/2023
Last updated
04/25/2023
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