Individual
DARLA MARIE MCLAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5454 BROADWAY, MERRILLVILLE, IN 46410-1648
(219) 290-7776
Mailing address
5454 BROADWAY, MERRILLVILLE, IN 46410-1648
(219) 702-6283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BC21402302
IN
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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