# JASPER HEALTH WORX LLC

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

## Provider details

- **NPI number:** 1538880570
- **Authorized official:** KELLI LAMPERT (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (812) 482-1041

## Contact information

- **Practice address:** 6402 E INDUSTRIAL LN, LEAVENWORTH, IN 47137-8316
- **Practice address phone:** (877) 291-6488
- **Practice address fax:** (812) 481-0280
- **Mailing address:** 819 WERNSING RD, JASPER, IN 47546-8141
- **Mailing address phone:** (877) 291-6488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/08/2022