| 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 |
|---|---|
| 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 |
|---|---|
| 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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