Greater Lafayette Health Services

NPI #1851498075 in Frankfort, Indiana

Provider Information

NPI Number
1851498075
Entity Type
Organization
Organization Name
Greater Lafayette Health Services
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1300 S JACKSON ST
State
Indiana
ZIP Code
46041-3313
Phone
(765) 659-2575

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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