Williams Personalized Care Llc | |
2525 South St Ste A Lafayette IN 47904-3028 | |
(765) 807-2320 | |
(765) 807-2330 |
Full Name | Williams Personalized Care Llc |
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Speciality | Family Medicine |
Location | 2525 South St Ste A, Lafayette, Indiana |
Authorized Official Name and Position | Mark Henry Williams (PHYSICIAN/OWNER) |
Authorized Official Contact | 7658072320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Williams Personalized Care Llc 3200 South St Unit 3 Lafayette IN 47904-3185 Ph: (765) 366-5776 | Williams Personalized Care Llc 2525 South St Ste A Lafayette IN 47904-3028 Ph: (765) 807-2320 |
NPI Number | 1417766742 |
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Provider Enumeration Date | 01/02/2025 |
Last Update Date | 01/02/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417766742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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