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Organization

LAFAYETTE OTOLARYNGOLOGY ASSOCIATES, INC

Active
Other names
Lafayette ENT
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH M RODEHAN (OFFICE MANAGER)
(765) 477-7436
Entity
Organization

Contact information

Practice address
2320 CONCORD RD, LAFAYETTE, IN 47909-2708
(765) 477-7436
(765) 477-1245
Mailing address
2320 CONCORD RD, LAFAYETTE, IN 47909-2708
(765) 477-7436
(765) 477-1245

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200274580A
IN
Enumeration date
11/06/2006
Last updated
12/27/2010
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