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Individual

AMABEL PIA A LAPUEBLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11104 PARKVIEW CIRCLE DR STE 440, FORT WAYNE, IN 46845-1672
(260) 373-9935
(260) 373-9926
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263017
MA
207RI0200X
Infectious Disease Physician
Primary
01080064A
IN
207RI0200X
Infectious Disease Physician
263017
MA
208M00000X
Hospitalist Physician
263017
MA

Other

Enumeration date
08/08/2012
Last updated
10/11/2022
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