Organization
UNITY HEALTHCARE, LLC
Active
Other names
Lafayette Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K MILLER (DIRECTOR OF BILLING)
(765) 446-5286
Entity
Organization
Contact information
Practice address
5 EXECUTIVE DR, SUITE B1, LAFAYETTE, IN 47905-3832
(765) 807-0531
(765) 807-0534
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200107480
—
IN
05
—
200476110
—
IN
Enumeration date
10/04/2006
Last updated
08/19/2009
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