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Organization

LURLEY J. ARCHAMBEAU MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN MARX (OFFICE MANAGER)
(419) 866-2830
Entity
Organization

Contact information

Practice address
6450 WEATHERFIELD CT., STE. 1B, MAUMEE, OH 43537-8919
(419) 866-2830
(419) 866-2831
Mailing address
6450 WEATHERFIELD CT., STE. 1B, MAUMEE, OH 43537-8919
(419) 866-2830
(419) 866-2831

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35999
OH
2084P0802X
Addiction Psychiatry Physician
35999
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0275330
OH
01
128773
VALUE OPTIONS
OH
Enumeration date
03/19/2009
Last updated
11/17/2010
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