Individual
LILLIAN MWAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 W LINCOLN RD, KOKOMO, IN 46902-3508
(765) 453-5600
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011972A
IN
363LF0000X
Family Nurse Practitioner
Primary
00000000
IN
Other
Enumeration date
10/25/2021
Last updated
09/25/2025
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