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Individual

LARRY R LETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 S DIXON RD, SUITE 430, KOKOMO, IN 46902-6428
(765) 319-3681
(765) 319-3683
Mailing address
2350 S DIXON RD, SUITE 430, KOKOMO, IN 46902-6428
(765) 319-3681
(765) 319-3683

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01027809A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082993
ANTHEM HEALTH PLAN
05
100354410
IN
01
3566882001
CIGNA
Enumeration date
08/08/2006
Last updated
01/21/2010
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