Individual
LISA RENE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
787 N DETROIT ST, LAGRANGE, IN 46761-1111
(260) 463-2172
(260) 463-2180
Mailing address
787 N DETROIT ST, LAGRANGE, IN 46761-1111
(260) 463-2172
(260) 463-2180
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28119546C
IN
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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