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Family Medicine · West Lafayette, IN

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At a glance

1400 W State St, West Lafayette, IN 47906-3438

NPPES record updated Oct 23, 2019. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1400 W State St Building B
West Lafayette, IN 47906-3438
Professional details: NPI, taxonomy & registry record
NPI1265968549
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Registry details

Primary taxonomy
Family Medicine
Taxonomy code
207Q00000X
Enumeration date
May 5, 2017
Record updated
Oct 23, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

License reported: 01078357A IN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1400 W State St
Building B
West Lafayette, IN 47906-3438
Phone
(423) 602-9530
Mailing address
1067 RIVERFRONT PKWY STE 201

CHATTANOOGA, TN 374022222
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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