Greater Lafayette Health Services

NPI #1982782934 in Lafayette, Indiana

Provider Information

NPI Number
1982782934
Entity Type
Organization
Organization Name
Greater Lafayette Health Services
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Nov 1, 2006
Last Updated
Nov 27, 2007

Practice Location

Address
1345 UNITY PL
Address 2
SUITE 235
State
Indiana
ZIP Code
47905-5760
Phone
(765) 446-5065

Authorized Official

Name
MR. TERRANCE E WILSON
Title
CHIEF EXECUTIVE OFFICER
Phone
(765) 423-6161

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