| NPI | 1861988776 |
|---|---|
| Doing Business As | LAFAYETTE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Dir Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |