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Lana Bucchino Llc
Primary Care Clinic/Center in Muncie, Indiana
NPI 1760813422

Lana Bucchino Llc is a Primary Care Clinic/Center based in Muncie, IN and is specialized in Primary Care. Lana Bucchino Llc practices in Muncie, IN. The NPI Number for Lana Bucchino Llc is 1760813422 and holds a License No. 01057078A (Indiana).

The current practice location address for Lana Bucchino Llc is 1910 W Royale Dr, Muncie, IN and can be reached out via phone at 765-289-1011 and via fax at 765-289-3024.

Location: 1910 W Royale Dr, Muncie, IN, 47304-2264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760813422
Provider Name
Lana Bucchino Llc
Credential
Provider Entity Type
Organization
Address
1910 W Royale Dr, Muncie, IN, 47304-2264
Phone Number
765-289-1011
Fax Number
765-289-3024
Provider Enumeration Date
12/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932120847 01 IN NPI
institution
Provider Business Practice Location Address Details
Address
1910 W Royale Dr
City
Muncie
State
Indiana
Zip
47304-2264
Phone Number
765-289-1011
Fax Number
765-289-3024
person
Provider Business Mailing Address Details
Address
1910 W Royale Dr
City
Muncie
State
Indiana
Zip
47304-2264
Phone Number
765-289-1011
Fax Number
765-289-3024
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
01057078A (Indiana)
Definition
Definition to come...
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