Lakeview Wesleyan Church

NPI #1568568947 in Marion, Indiana

Provider Information

NPI Number: 1568568947
Entity Type: Organization
Organization Name: Lakeview Wesleyan Church
Subpart: Yes (part of a larger organization)
Parent Organization: LAKEVIEW WESLEYAN CHURCH
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 5230 S WESTERN AVE
City: Marion
State: Indiana
ZIP Code: 46953-5778
Phone: (765) 674-2208

Authorized Official

Name: APRIL D LEACH
Title: OFFICIAL DELEGATE
Phone: (765) 674-2208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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