Organization
LAFAYETTE PAIN CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA SIDDIQUI MD (OWNER)
(765) 714-4344
Entity
Organization
Contact information
Practice address
3728 SOUTH REED ROAD, WILLIAMSPORT, IN 47993-1049
(765) 714-4344
(765) 838-3200
Mailing address
770 PARK EAST BLVD, STE B, LAFAYETTE, IN 47905-0786
(765) 714-4344
(765) 838-3200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Enumeration date
04/29/2015
Last updated
07/11/2017
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