Liberty Dialysis - Lafayette Llc

NPI 1245320639 - Clinic/Center - 261QE0700X

NPI Details
NPI 1245320639
Enumeration Date 10/13/2006
Last Updated 08/08/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RYAN B RYAN
Position VICE PRESIDENT
Phone (765) 420-8000
Fax
Practice Location
1020 N 18TH ST
LAFAYETTE IN, 47904-2279, US
Phone (765) 420-8000
Fax
Business Location
7650 SE 27TH ST
SUITE 200
MERCER ISLAND WA, 98040-3060, US
Phone (206) 236-5001
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Liberty Dialysis - Lafayette Llc NPI is 1245320639, taxonomy code is 261QE0700X Liberty Dialysis - Lafayette Llc physically located at 1020 N 18th St, Lafayette IN, 47904-2279. NPI Number 1033115704 has the healthcare provider type.

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1245320639 NPI number is provided on an as is basis without warranty of any kind. 1245320639 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Dialysis - Lafayette Llc are for informational purposes only.