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NPI Code Detail

MEDICARE: MS. JUDITH E LAUSCH RN, RA

MEDICARE:  MS. JUDITH E LAUSCH  RN, RA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse28073331AIN

General Provider Information

NPI Number : 1720247372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH E LAUSCH RN, RA
Provider Business Mailing Address
First Line : 7 GREEN HILLS CT
Second Line :
City : GREENTOWN
State : IN
Zip : 46936-1039
Country : US
Telephone Number : 765-628-3841
Fax Number :
Provider Business Practice Location Address
First Line : 7 GREEN HILLS CT
Second Line :
City : GREENTOWN
State : IN
Zip : 46936-1039
Country : US
Telephone Number : 765-628-3841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2008
Last Update Date : 06/07/2008

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Directions to “ MS. JUDITH E LAUSCH RN, RA” Practice Location

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