Individual
DR. FRANCISCO ANTONIO LOAICIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006807
—
IN
01
—
PENDING
ANTHEM PROVIDER NUMBER
IN
Enumeration date
05/04/2012
Last updated
03/17/2018
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