Diane Marie Gora REGISTERED NURSE

NPI 1164742540 - Registered Nurse - 163WL0100X

NPI Details
NPI 1164742540
Gender Female
Enumeration Date 06/08/2010
Last Updated 06/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1400 S LAKE PARK AVE STE 205
HOBART IN, 46342-6791, US
Phone (219) 942-8620
Fax (219) 942-6356
Business Location
1400 S LAKE PARK AVE STE 205
HOBART IN, 46342-6791, US
Phone (219) 942-8620
Fax (219) 942-6356
Toxanomy
Taxonomy Code 163WL0100X
License State Indiana
License Number 28062518A
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According to our database, Diane Marie Gora REGISTERED NURSE NPI is 1164742540, taxonomy code is 163WL0100X and license number is 28062518A, license state is located at Indiana. Diane Marie Gora REGISTERED NURSE physically located at 1400 S Lake Park Ave Ste 205, Hobart IN, 46342-6791. NPI Number Diane Marie Gora REGISTERED NURSE has the Individual type.

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1164742540 NPI number is provided on an as is basis without warranty of any kind. 1164742540 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Marie Gora REGISTERED NURSE are for informational purposes only.