Organization
LAFAYETTE EMERGENCY PHYSICIANS, INC
Active
Other names
Boone County Emergency Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HENIFF M.D. (PRESIDENT)
(765) 447-6811
Entity
Organization
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052
(214) 506-2610
Mailing address
PO BOX 2306, INDIANAPOLIS, IN 46206-2306
(469) 420-5527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464230
—
IN
01
—
CN1219
RAILROAD
IN
Enumeration date
05/25/2006
Last updated
05/06/2021
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