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NPI Code Detail

MEDICARE: LAWRENCEBURG MEDICAL SERVICES

MEDICARE: LAWRENCEBURG MEDICAL SERVICES
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1861523045
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCEBURG MEDICAL SERVICES
Provider Business Mailing Address
First Line : 276 BIELBY RD
Second Line :
City : LAWRENCEBURG
State : IN
Zip : 47025-2787
Country : US
Telephone Number : 812-537-1740
Fax Number : 812-537-4201
Provider Business Practice Location Address
First Line : 276 BIELBY RD
Second Line :
City : LAWRENCEBURG
State : IN
Zip : 47025-2787
Country : US
Telephone Number : 812-537-1740
Fax Number : 812-537-4201
Authorized Official
Title or Position : PHYSICIAN
Name : SHWETA ADYA
Credential : MD
Telephone Number : 812-537-1740
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/22/2020

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Directions to “LAWRENCEBURG MEDICAL SERVICES ” Practice Location

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