Lakeview Family Medicine, Llc | |
204w Main St Arcadia IN 46030 | |
(317) 984-8811 | |
(317) 984-5862 |
Full Name | Lakeview Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 204w Main St, Arcadia, Indiana |
Authorized Official Name and Position | Glen E Leer (OWNER) |
Authorized Official Contact | 3179848811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakeview Family Medicine, Llc Po Box 383 Arcadia IN 46030-0383 Ph: (317) 984-8811 | Lakeview Family Medicine, Llc 204w Main St Arcadia IN 46030 Ph: (317) 984-8811 |
NPI Number | 1811226640 |
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Provider Enumeration Date | 12/07/2009 |
Last Update Date | 12/07/2009 |
Medicare PECOS PAC ID | 9133269095 |
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Medicare Enrollment ID | O20091228000418 |
Identifier | Type | State | Issuer |
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1811226640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02001252 (Indiana) | Primary |
Provider Name | Glen E Leer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063505667 PECOS PAC ID: 5193744076 Enrollment ID: I20051121000616 |
Everside Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 West Main St., Arcadia, IN 46030 Phone: 866-808-6005 |