Organization
LAFAYETTE FAMILY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FAY (AO)
(937) 570-2448
Entity
Organization
Contact information
Practice address
4050 BRITT FARM DR STE C, LAFAYETTE, IN 47905-0712
(937) 570-2448
Mailing address
179 W 550 S, CUTLER, IN 46920-9307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
08/17/2022
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