| Lambodara Llc | |
|
1638 Carroll Rd Fort Wayne IN 46845 | |
| (321) 626-3044 | |
| Not Available |
| Full Name | Lambodara Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1638 Carroll Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Kamleshkumar R Patel (MEMBER) |
| Authorized Official Contact | 3216263044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lambodara Llc 1638 Carroll Rd Fort Wayne IN 46845 Ph: (321) 626-3044 | Lambodara Llc 1638 Carroll Rd Fort Wayne IN 46845 Ph: (321) 626-3044 |
| NPI Number | 1902376130 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902376130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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