# HOMETOWN FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1679157390
- **Authorized official:** DR. JENNIFER L BEHRENS MD (OWNER)
- **Authorized official phone:** (317) 520-2926

## Contact information

- **Practice address:** 103 W MAIN ST, LIZTON, IN 46149-9219
- **Practice address phone:** (317) 520-2926
- **Practice address fax:** (585) 312-6697
- **Mailing address:** PO BOX 239, LIZTON, IN 46149-0239
- **Mailing address phone:** (317) 520-2926
- **Mailing address fax:** (585) 312-6697

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2021
- **Last updated:** 05/09/2021