| NPI | 1326071192 |
|---|---|
| Doing Business As | LAFAYETTE OBSTETRICS AND GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT IDESON Practice Manager 765-428-5888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-10-04 |