Search › Indiana › 183500000X
Paige Detzler
NPI 1841837697 · on the registry since 2019
Practice
- Address
- 2420 N Lebanon St
Lebanon, IN 46052 - Phone
- (482) 709-5765
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-27
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