Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 71005022A | IN |
NPI | 1003224395 |
---|---|
Provider Name | Lauren A Ostrowski-Winkler |
First Address | Portage, IN 46368-9230 |
Second Address | Portage, IN 46368-5420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2014 |
Last Update Date | 30/07/2014 |