| Anderson Family Medicine, Pc | |
|
2211 Brown St Anderson IN 46016-4220 | |
| (765) 640-2100 | |
| Not Available |
| Full Name | Anderson Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2211 Brown St, Anderson, Indiana |
| Authorized Official Name and Position | Mark E Lawlor (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7656402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Family Medicine, Pc 2211 Brown St Anderson IN 46016-4220 Ph: (765) 640-2100 | Anderson Family Medicine, Pc 2211 Brown St Anderson IN 46016-4220 Ph: (765) 640-2100 |
| NPI Number | 1467623967 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 5890820070 |
|---|---|
| Medicare Enrollment ID | O20100312000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467623967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark E Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326128547 PECOS PAC ID: 2264567544 Enrollment ID: I20100312000353 |
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