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Organization
HOMETOWN FAMILY MEDICINE LLC
Active
Organization
HOMETOWN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L BEHRENS MD (OWNER)
(317) 520-2926
Entity
Organization
Contact information
Practice address
103 W MAIN ST, LIZTON, IN 46149-9219
(317) 520-2926
(585) 312-6697
Mailing address
PO BOX 239, LIZTON, IN 46149-0239
(317) 520-2926
(585) 312-6697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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