Female

Lisa O'Keefe R.N., A.G.N.P

Adult Health Nurse Practitioner in Dyer, IN(View on Map)

Full Name

Lisa O'Keefe R.N., A.G.N.P

NPI Number

1114336989

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/06/2014

Specialties

(Taxonomies)

Code

363LA2200X
363LG0600X

Primary Taxonomy

Yes
No

Licenses

State

Indiana
Indiana

License Number

71005092A
28172567A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 781076
24 JOLIET ST

City

Detroit
Dyer

State

MI
IN

Postal Code

48278-1076
46311-1705

Country

US
US

Telephone Number

(317) 528-4800
(219) 322-5747

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2020

Provider Address

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