Sigma Medical Group, Llc | |
1701 S Creasy Ln Lafayette IN 47905-4972 | |
(765) 775-2828 | |
(765) 775-2833 |
Full Name | Sigma Medical Group, Llc |
---|---|
Speciality | General Practice |
Location | 1701 S Creasy Ln, Lafayette, Indiana |
Authorized Official Name and Position | John Lease (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7657752828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sigma Medical Group, Llc 1415 Salem St Suite 302 Lafayette IN 47904-2099 Ph: (765) 449-2410 | Sigma Medical Group, Llc 1701 S Creasy Ln Lafayette IN 47905-4972 Ph: (765) 775-2828 |
NPI Number | 1386668812 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 07/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386668812 | NPI | - | NPPES |
200495560 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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