Lafayette Pain Care PC
NPI #1881121978 in Logansport, Indiana
Provider Information
- NPI Number
- 1881121978
- Entity Type
- Organization
- Organization Name
- Lafayette Pain Care PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 19, 2017
- Last Updated
- Jun 8, 2017
Practice Location
- Address
- 1101 MICHIGAN AVE STE 30
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1528
- Phone
- (574) 753-7541
Authorized Official
- Name
- SHAZIA M SIDDIQUI, MD
- Title
- OWNER
- Phone
- (765) 714-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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