Greater Lafayette Health Services
NPI #1255529335 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1255529335
- Entity Type
- Organization
- Organization Name
- Greater Lafayette Health Services
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Nov 27, 2007
Practice Location
- Address
- 3482 MCCLURE AVE
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906
- Phone
- (765) 447-7447
Authorized Official
- Name
- MR. TERRANCE E WILSON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (765) 423-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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