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801 Huntington Ave Warren IN 46792-9402 | |
(260) 375-4375 | |
(260) 375-4377 |
Full Name | |
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Speciality | Psychiatry & Neurology - Pain Medicine |
Location | 801 Huntington Ave, Warren, Indiana |
Authorized Official Name and Position | Roger D Lemmen (MEMBER) |
Authorized Official Contact | 2603754375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Huntington Ave Warren IN 46792-9402 Ph: (260) 375-4375 | 801 Huntington Ave Warren IN 46792-9402 Ph: (260) 375-4375 |
NPI Number | 1588922207 |
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Provider Enumeration Date | 05/01/2012 |
Last Update Date | 05/01/2012 |
Identifier | Type | State | Issuer |
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1588922207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Primary |