LAINE ELAM

MUNCIE, IN
NPI1265516751
Former NameLAINE BEATY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000270A)
Enumeration Date2006-10-24
Last Update Date2017-10-16
Business Address
Mrs. LAINE ELAM PAC
2525 W UNIVERSITY AVE STE 402
MUNCIE, IN 47303-3409
Phone number: 765-747-6090
Mailing Address
Mrs. LAINE ELAM PAC
3500 W PURDUE AVE
MUNCIE, IN 47304-6357
Phone number: 765-747-6090
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