Organization
LIFECOURSE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA B SAMSON (VP REVENUE CYCLE)
(225) 241-2594
Entity
Organization
Contact information
Practice address
38 W MAIN ST, CARMEL, IN 46032-1764
(225) 241-2594
Mailing address
38 W MAIN ST, CARMEL, IN 46032-1764
(225) 241-2594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/22/2024
Last updated
08/07/2024
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