LUTHERAN MEDICAL GROUP LLC

FORT WAYNE, IN
NPI1164662805
Entity TypeOrganization
Authorized ContactKRISTINA MUSIC
Director, Provider Enrollment
615-465-7377
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies207R00000X Internal Medicine
207RA0201X Internal Medicine, Allergy & Immunology
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
207RS0012X Internal Medicine, Sleep Medicine
207UN0901X Nuclear Medicine, Nuclear Cardiology
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2009-02-20
Last Update Date2024-10-01
Business Address
LUTHERAN MEDICAL GROUP LLC
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
Mailing Address
LUTHERAN MEDICAL GROUP LLC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 888-304-1116