Organization
FORD CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMAR REGINALD FORD M.D. (DR. AND OWNER)
(317) 923-2444
Entity
Organization
Contact information
Practice address
3737 N MERIDIAN ST, SUITE 410, INDIANAPOLIS, IN 46208-4348
(317) 923-2444
(317) 923-8758
Mailing address
3737 N MERIDIAN ST, SUITE 410, INDIANAPOLIS, IN 46208-4348
(317) 923-2444
(317) 923-8758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100460740
—
IN
Enumeration date
07/02/2007
Last updated
07/10/2008
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