Organization
LAMBODARA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESHKUMAR R PATEL MD (MEMBER)
(321) 626-3044
Entity
Organization
Contact information
Practice address
1638 CARROLL RD, FORT WAYNE, IN 46845
(321) 626-3044
Mailing address
1638 CARROLL RD, FORT WAYNE, IN 46845
(321) 626-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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