Liberty Dialysis - Lafayette LLC

NPI #1881784270 in Frankfort, Indiana

Provider Information

NPI Number
1881784270
Entity Type
Organization
Organization Name
Liberty Dialysis - Lafayette LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 13, 2006
Last Updated
Dec 14, 2010

Practice Location

Address
1300 S JACKSON ST
State
Indiana
ZIP Code
46041-3313
Phone
(765) 656-3377

Authorized Official

Name
RYAN B PARDO
Title
VICE PRESIDENT
Phone
(206) 236-5001

Specialties & Taxonomy Codes

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

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