Lafayette Cancer Care PC
Non-Pharmacy Dispensing Site in Lafayette, IN. Organization (NPI-2).
NPI number1750463543
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750463543
- Entity type
- Organization (NPI-2)
- Legal business name
- Lafayette Cancer Care PC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 01045452A | IN | Yes |
Other names
- Nancy A Dimartino MD (Doing Business As)
Practice location
1345 Unity PlSte 135
Lafayette, IN 47905-5760
Phone 765-446-5050 · Fax 765-446-5119
Mailing address
1345 Unity PlSte 135
Lafayette, IN 47905-5760
Authorized official
Susan Gray
Practice Admin
7654465050
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