Organization
LAFAYETTE EMERGENCY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MULVEY MD (PRESIDENT)
(765) 446-0170
Entity
Organization
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6011
Mailing address
114 EXECUTIVE DR STE E, LAFAYETTE, IN 47905-4875
(765) 446-0170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003290A
IN
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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