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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Kathryn Gjeldum ANP-BC
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Kimberly Grzesik MS, RN, AGACNP-BC
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Elizabeth Vaught NP
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