Indiana Wellness, LLC

NPI #1922438522 in Lafayette, Indiana

Provider Information

NPI Number: 1922438522
Entity Type: Organization
Organization Name: Indiana Wellness, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 18, 2013
Last Updated: Nov 18, 2013

Practice Location

Address: 1221 S CREASY LN STE K3
City: Lafayette
State: Indiana
ZIP Code: 47905-7430
Phone: (765) 379-1358

Authorized Official

Name: DOUGLAS MENNEN
Title: BUSINESS MANAGER
Phone: (765) 479-1358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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