| Lucina Treatment Center, Llc | |
|
8140 Castleton Rd Indianapolis IN 46250 | |
| (317) 455-8246 | |
| (844) 565-8144 |
| Full Name | Lucina Treatment Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8140 Castleton Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Andrew Roberts (OWNER) |
| Authorized Official Contact | 3174558246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucina Treatment Center, Llc 8140 Castleton Rd Indianapolis IN 46250-2007 Ph: (317) 455-8246 | Lucina Treatment Center, Llc 8140 Castleton Rd Indianapolis IN 46250 Ph: (317) 455-8246 |
| NPI Number | 1194275669 |
|---|---|
| Provider Enumeration Date | 10/09/2016 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 9234567751 |
|---|---|
| Medicare Enrollment ID | O20200317000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194275669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew P Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740508845 PECOS PAC ID: 1254573397 Enrollment ID: I20140905000788 |
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