Organization
FOUR LIGHTS HEALTH CARE CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT L SPENCER MD (DIRECT OWNER)
(765) 376-6825
Entity
Organization
Contact information
Practice address
1601 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1032
(765) 362-8211
(765) 362-8212
Mailing address
1601 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1032
(765) 362-8211
(765) 362-8212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040702A
IN
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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