| NPI | 1508069972 |
|---|---|
| Doing Business As | IU FORT WAYNE LAFAYETTE STREET FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA E DIXON Director Of Patient Care Services 317-278-9059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-07-12 |