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Organization
LAFAYETTE PAIN CARE, P.C.
Active
Organization
LAFAYETTE PAIN CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA SIDDIQUI MD (OWNER)
(765) 714-4344
Entity
Organization
Contact information
Practice address
770 PARK EAST BLVD STE B, LAFAYETTE, IN 47905-0786
(765) 714-4344
(765) 838-3200
Mailing address
770 PARK EAST BLVD STE B, LAFAYETTE, IN 47905-0786
(765) 714-4344
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
01059790A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/24/2012
Last updated
07/21/2022
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