SearchIndiana363LA2200X

Laura Hieronymus, C.A.N.P

NPI 1922290790 · on the registry since 2007

Practice

Address
1700 Mishawaka Ave
Student Activity Center Rm 130
South Bend, IN 46634
Phone
(574) 250-5557
Fax
(574) 520-5042
Clinicians at this address
2

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-15

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