Lifecare Of Indiana Inc | |
240 Commerce Sq Michigan City IN 46360-3282 | |
(219) 324-5005 | |
Not Available |
Full Name | Lifecare Of Indiana Inc |
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Speciality | Family Medicine |
Location | 240 Commerce Sq, Michigan City, Indiana |
Authorized Official Name and Position | Isaac J Leestma (COO /ADMINISTRATOR) |
Authorized Official Contact | 6168213485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifecare Of Indiana Inc 240 Commerce Sq Michigan City IN 46360-3282 Ph: (219) 324-5005 | Lifecare Of Indiana Inc 240 Commerce Sq Michigan City IN 46360-3282 Ph: (219) 324-5005 |
NPI Number | 1982273165 |
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Provider Enumeration Date | 06/22/2021 |
Last Update Date | 06/22/2021 |
Identifier | Type | State | Issuer |
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1982273165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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