| Lee Allen Henderson, MD | |
|
2400 South St., Department Of Pathology, Lafayette, IN 47904 | |
| (765) 448-4319 | |
| (765) 448-2921 |
| Full Name | Lee Allen Henderson |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 2400 South St., Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417953118 | NPI | - | NPPES |
| 000000315528 | Other | IN | ANTHEM |
| 111890J | Other | IN | MEDICARE |
| 176600G | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1035929A (Indiana) | Primary |
| Entity Name | Pathology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972596864 PECOS PAC ID: 2466352208 Enrollment ID: O20040109000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Allen Henderson, MD Po Box 5628, Lafayette, IN 47903-5628 Ph: (765) 448-4319 | Lee Allen Henderson, MD 2400 South St., Department Of Pathology, Lafayette, IN 47904 Ph: (765) 448-4319 |
Dr. Zandra D'hue, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-5008 | |
Richard Nono Rosales, MD Pathology Medicare: Medicare Enrolled Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-7410 Fax: 219-502-4855 | |
Minqian Shen, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-7410 Fax: 219-502-4855 | |
Giovanna A Giannico, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-491-6000 Fax: 317-491-6534 | |
Dr. Adele O Kraft, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-491-6000 Fax: 317-491-6534 | |
Eric Wygant Stark, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2400 South St, Lafayette, IN 47904 Phone: 765-448-4319 Fax: 765-448-2821 |