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Proactive Mso, Llc
Primary Care Clinic/Center in Lafayette, Indiana
NPI 1336611201

Proactive Mso, Llc is a Primary Care Clinic/Center based in Simpsonville, IN and is specialized in Primary Care. Proactive Mso, Llc practices in Lafayette, IN. The NPI Number for Proactive Mso, Llc is 1336611201 and holds a License No. (Indiana).

The current practice location address for Proactive Mso, Llc is 4900 Old Us Highway 231 S, Lafayette, IN and can be reached out via phone at 765-772-7098.

Location: 4900 Old Us Highway 231 S, Lafayette, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336611201
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
4900 Old Us Highway 231 S, Lafayette, IN, 29681-6207
Phone Number
765-772-7098
Fax Number
Provider Enumeration Date
12/17/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4900 Old Us Highway 231 S
City
Lafayette
State
Indiana
Zip
47909-2470
Phone Number
765-772-7098
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Old Us Highway 231 S
City
Lafayette
State
Indiana
Zip
47909-2470
Phone Number
765-772-7098
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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