Individual
MADELYN G LEFRANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 446-4819
(765) 446-4859
Mailing address
3900 ST FRANCIS WAY, SUITE 215, LAFAYETTE, IN 47905-4923
(765) 446-4819
(765) 446-4859
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01062170A
IN
2085R0202X
Diagnostic Radiology Physician
35082410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518923
ANTHEM
IN
05
—
200824060
—
IN
05
—
2407238
—
OH
01
—
P00044119
MEDICARE RAILROAD
—
01
—
P00414330
MEDICARE RR
IN
Enumeration date
05/24/2006
Last updated
03/02/2011
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