Organization
LAFAYETTE CANCER CARE PC
Active
Other names
NANCY A DIMARTINO MD
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GRAY (PRACTICE ADMIN)
(765) 446-5050
Entity
Organization
Contact information
Practice address
1345 UNITY PL, STE 135, LAFAYETTE, IN 47905-5760
(765) 446-5050
(765) 446-5119
Mailing address
1345 UNITY PL, STE 135, LAFAYETTE, IN 47905-5760
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
01045452A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1560223
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
08/22/2020
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