| NPI | 1427759182 |
|---|---|
| Doing Business As | LAFAYETTE VEIN AND VASCULAR |
| Entity Type | Organization |
| Authorized Contact | MARTHA MILLER Dir Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |