Organization
PICKERILL PERSONALIZED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY LEWIS PICKERILL MD (PHYSICAN)
(765) 807-2325
Entity
Organization
Contact information
Practice address
2525 SOUTH ST, LAFAYETTE, IN 47904-3028
(765) 807-2325
(765) 807-2330
Mailing address
2525 SOUTH ST, LAFAYETTE, IN 47904-3028
(765) 807-2325
(765) 807-2330
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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