| Lafayette Family Medicine | |
|
3806 Amelia Ave Ste B Lafayette IN 47905-5772 | |
| (574) 967-4523 | |
| (574) 967-4994 |
| Full Name | Lafayette Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3806 Amelia Ave Ste B, Lafayette, Indiana |
| Authorized Official Name and Position | Martha K Miller (DIR OF BILLING) |
| Authorized Official Contact | 7654465417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Family Medicine Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 446-5417 | Lafayette Family Medicine 3806 Amelia Ave Ste B Lafayette IN 47905-5772 Ph: (574) 967-4523 |
| NPI Number | 1861988776 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861988776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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