Goodman Lostutter LLC

NPI #1942348198 in Lawrenceburg, Indiana

Provider Information

NPI Number
1942348198
Entity Type
Organization
Organization Name
Goodman Lostutter LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Feb 1, 2007
Last Updated
May 27, 2022

Practice Location

Address
607 WILSON CREEK RD
State
Indiana
ZIP Code
47025-1074
Phone
(812) 537-4422

Authorized Official

Name
MS. LORI POE
Title
ADMINISTRATOR
Phone
(812) 537-4422

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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