Greater Lafayette Health Services
NPI #1003915455 in Monticello, Indiana
Provider Information
- NPI Number
- 1003915455
- Entity Type
- Organization
- Organization Name
- Greater Lafayette Health Services
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1017 O CONNOR BLVD
- City
- Monticello
- State
- Indiana
- ZIP Code
- 47960-1600
- Phone
- (574) 583-3664
Authorized Official
- Name
- MR. TERRANCE E WILSON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (765) 423-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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