Pediatric & Adult Allergy Asthma & Immunology Specialists, Llc

Specialty details in registry · Fort Wayne, IN

Call (260) 422-5569 Directions

At a glance

3030 Lake Ave, Fort Wayne, IN 46805-5428

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

3030 Lake Ave Suite 27
Fort Wayne, IN 46805-5428
Professional details: NPI, taxonomy & registry record
NPI1790801512
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207K00000X
Enumeration date
Mar 22, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207K00000X · Primary

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

Practice location

3030 Lake Ave
Suite 27
Fort Wayne, IN 46805-5428
Phone
(260) 422-5569
Fax
(260) 422-6086
Mailing address
3030 LAKE AVE
SUITE 27
FORT WAYNE, IN 468055428
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Information may be outdated or incomplete.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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