Individual
DR. VERNON L LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 N 26TH ST, SUITE 201, LAFAYETTE, IN 47904-2856
(765) 446-6535
Mailing address
415 N 26TH ST, SUITE 201, LAFAYETTE, IN 47904-2856
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01027111A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000-206354
BCBS
IN
05
—
100232010A
—
IN
05
—
2477234
—
OH
05
—
4624390
—
MI
Enumeration date
10/14/2006
Last updated
10/05/2012
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