Organization
LAFAYETTE PAIN CARE PC
Active
Organization
LAFAYETTE PAIN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA MERAJ SIDDIQUI (OWNER)
(765) 714-4344
Entity
Organization
Contact information
Practice address
707 N RIVER DR, MARION, IN 46952-2765
(765) 662-0100
Mailing address
PO BOX 5748, LAFAYETTE, IN 47903-5748
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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