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Megan Lawrence
Family Nurse Practitioner in Portage, Indiana
NPI 1174032320

Megan Lawrence is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Megan Lawrence practices in Portage, IN. The NPI Number for Megan Lawrence is 1174032320 and holds a License No. 209016594 (Indiana).

The current practice location address for Megan Lawrence is 6375 Us Highway 6 Ste B, Portage, IN and can be reached out via phone at 219-762-0400.

Location: 6375 Us Highway 6 Ste B, Portage, IN, 46368-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174032320
Provider Name
Megan Lawrence
Credential
Provider Entity Type
Individual
Gender
Female
Address
6375 Us Highway 6 Ste B, Portage, IN, 46368-5218
Phone Number
219-762-0400
Fax Number
Provider Enumeration Date
09/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F400433560 01 IL MEDICARE PIN
300018842 05 IN
institution
Provider Business Practice Location Address Details
Address
6375 Us Highway 6 Ste B
City
Portage
State
Indiana
Zip
46368-5218
Phone Number
219-762-0400
Fax Number
person
Provider Business Mailing Address Details
Address
6375 Us Highway 6 Ste B
City
Portage
State
Indiana
Zip
46368-5218
Phone Number
219-762-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016594 (Illinois)
Definition
Definition to come...
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