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Contact Information

LORA D DEFREESE, CNM
1215 LAWN AVE STE 100
ELKHART, IN46514-2450
 Phone: 574-293-2893
 Fax: 574-293-1298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for LORA D DEFREESE · (Female)

NPI # 1336618644
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 11/15/2018
Last updated 05/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 09000316A
  • IN Medicaid 300021977
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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