Search › Indiana › 363LF0000X
Mallory Matusik, FNP
NPI 1386379501 · on the registry since 2022 · sole proprietor
Practice
- Address
- 519 N Halleck St
Demotte, IN 46310 - Phone
- (219) 987-7750
- Organisation at this address
- Leestma Medical Clinic, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana