Lafayette Retina Clinic PC

NPI #1568630325 in Lafayette, Indiana

Provider Information

NPI Number: 1568630325
Entity Type: Organization
Organization Name: Lafayette Retina Clinic PC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 100 PROFESSIONAL CT
Address 2: SUITE 101
City: Lafayette
State: Indiana
ZIP Code: 47905-5161
Phone: (765) 446-9446

Authorized Official

Name: GARY E SCHRAUT, MD
Title: OWNER
Phone: (765) 446-9446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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