Indiana
Professional Licensing Agency
Lynette Hazelbaker, M.D., PC
Medical Licensing Board - Medical Corporation
License number
50004138A
Date granted
04/27/1999
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
3508 SOUTH LAFOUNTAIN STREET, KOKOMO IN 46902
indianalicensing.org
ID 24829819
LAST UPDATED 2026-05-17 22:15:18 UTC
LAST UPDATED 2026-05-17 22:15:18 UTC
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