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Individual

DR. LEMUEL T BARRIDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
(260) 672-6639
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043335
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000529327
ANTHEM
01
0621750
CIGNA
05
200206840
IN
01
22872
PHP
01
P00465444
RAILROAD MEDICARE
IN
Enumeration date
07/15/2006
Last updated
10/17/2022
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