Organization
UNITY HEALTHCARE, LLC
Active
Other names
Lafayette Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DAWSON (DIRECTOR OF BILLING)
(765) 446-5417
Entity
Organization
Contact information
Practice address
114 EXECUTIVE DR, SUITE A, LAFAYETTE, IN 47905-4883
(765) 446-5185
(765) 446-5186
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201106800A
—
IN
Enumeration date
09/06/2012
Last updated
10/18/2024
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