MRS. Lisa Jennifer Mickelson, R.N.

NPI #1457772451 in Dyer, Indiana

Provider Information

NPI Number: 1457772451
Entity Type: Individual
Name: MRS. Lisa Jennifer Mickelson, R.N.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: R.N.
Enumeration Date: Dec 18, 2013
Last Updated: Dec 18, 2013

Practice Location

Address: 600 JOLIET ST.
Address 2: KAHLER MIDDLE SCHOOL
City: Dyer
State: Indiana
ZIP Code: 46311
Phone: (219) 865-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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