Individual
GRACE SEBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904-2895
(866) 682-5539
Mailing address
9371 N 408 E, LAKE VILLAGE, IN 46349-9248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71017901A
IN
363LF0000X
Family Nurse Practitioner
Primary
71017901A
IN
Other
Enumeration date
03/24/2026
Last updated
04/09/2026
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