Liberty Dialysis - Lafayette, LLC

NPI #1518057918 in Monticello, Indiana

Provider Information

NPI Number
1518057918
Entity Type
Organization
Organization Name
Liberty Dialysis - Lafayette, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 13, 2006
Last Updated
Aug 19, 2021

Practice Location

Address
810 S 6TH ST STE I
State
Indiana
ZIP Code
47960-8201
Phone
(574) 583-3576

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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