Widdall, Lorraine Kay

Widdall, Lorraine Kay is an individual health care provider with primary practice located at 8317 Calumet Ave , Munster IN 46321-1737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Widdall, Lorraine Kay can be contacted via phone (219) 513-2333.

Contact Information

Primary practice address
8317 Calumet Ave Munster IN 46321-1737
Fax: (219) 513-1127
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 28087637A Indiana

Profile Details

NPI number 1740230531
LBN Legal business name Widdall, Lorraine Kay
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Apr 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740230531 NPPES
Indiana MEDICAID 200473170

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