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Search › Indiana › 363A00000X

Lorraine Conklin, PAC

NPI 1619915188 · on the registry since 2006

Practice

Address
7333 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 435-7334
Fax
(260) 435-7748
Organisation at this address
Qhg Of Fort Wayne Company Llc
Qhg Of Fort Wayne Company Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-16

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