# LAFAYETTE WOMANS HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAFAYETTE WOMANS HEALTH
- **Other names:** LAFAYETTE OBSTETRICS AND GYNECOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326071192
- **Legal business name:** LAFAYETTE WOMANS HEALTH
- **Authorized official:** ROBERT IDESON (PRACTICE MANAGER)
- **Authorized official phone:** (765) 428-5888

## Contact information

- **Practice address:** 3920 ST FRANCIS WAY, SUITE 110, LAFAYETTE, IN 47905-4917
- **Practice address phone:** (765) 428-5800
- **Practice address fax:** (765) 428-5802
- **Mailing address:** 3920 ST FRANCIS WAY, SUITE 110, LAFAYETTE, IN 47905-4917
- **Mailing address phone:** (765) 428-5800
- **Mailing address fax:** (765) 428-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 10/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200303310A | — | IN |