MEDICARE: LECARE & ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	0500625A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356881155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LECARE & ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	8647 BRINWOOD DRIVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1922
Country	:	US
Telephone Number	:	317-322-1300
Fax Number	:	219-237-9869

Provider Business Practice Location Address
First Line	:	6512 EAST WASHINGTON STREET
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-6633
Country	:	US
Telephone Number	:	317-322-1300
Fax Number	:	219-237-9869

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEANNE M LAFUZE
Credential	:	PT
Telephone Number	:	317-322-1300

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	02/28/2017

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