# LIL FAMILY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467776385
- **Authorized official:** GARY R BRIGHAM MD (PRESIDENT)
- **Authorized official phone:** (800) 606-0430

## Contact information

- **Practice address:** 2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
- **Practice address phone:** (800) 606-0430
- **Mailing address:** 2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | IN | Yes |
| 2085N0904X | Nuclear Radiology Physician | — | IN | — |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/31/2010
