Lonestar Family Practice | |
100 N 15th St Richmond IN 47374-4355 | |
(765) 966-7668 | |
Not Available |
Full Name | Lonestar Family Practice |
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Speciality | Family Medicine |
Location | 100 N 15th St, Richmond, Indiana |
Authorized Official Name and Position | West Foster (OWNER) |
Authorized Official Contact | 7659667668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lonestar Family Practice 100 N 15th St Richmond IN 47374-4355 Ph: () - | Lonestar Family Practice 100 N 15th St Richmond IN 47374-4355 Ph: (765) 966-7668 |
NPI Number | 1528617339 |
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Provider Enumeration Date | 09/05/2019 |
Last Update Date | 09/05/2019 |
Medicare PECOS PAC ID | 2860824778 |
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Medicare Enrollment ID | O20191114002189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528617339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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