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Organization

LAFAYETTE NEONATAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE K HAYES (BILLING CLERK)
(765) 446-9600
Entity
Organization

Contact information

Practice address
2400 SOUTH ST, LAFAYETTE, IN 47904-3027
(765) 446-9600
Mailing address
2304 KOSSUTH ST, LAFAYETTE, IN 47904-3240
(765) 446-9600

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01034719A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100385780A
IN
Enumeration date
07/15/2008
Last updated
11/18/2008
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