WELLBOUND OF LAFAYETTE LLC NPI 1972520997

NPI Information

WELLBOUND OF LAFAYETTE LLC is an end-stage renal disease (esrd) treatment clinic center in Lafayette, IN. WELLBOUND OF LAFAYETTE LLC NPI is 1972520997. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbound Of Lafayette.

The provider's business location address is:

2 EXECUTIVE DR
SUITE B
LAFAYETTE, IN
ZIP 47905-878
Phone: (765) 446-1627
Fax: (765) 449-9475

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 12/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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