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Proactive Mso, Llc
Primary Care Clinic/Center in Lafayette, Indiana
NPI 1790223048

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 1790223048 and holds a License No. (Indiana).

The current practice location address for Proactive Mso, Llc is 2400 Sagamore Pkwy S, Lafayette, IN and can be reached out via phone at 765-772-4086. You can also correspond with Proactive Mso, Llc through the mailing address at 124 ALLAWOOD CT, SIMPSONVILLE, SC - 29681-6207 (mailing address contact number: 864-501-0751).

Location: 2400 Sagamore Pkwy S, Lafayette, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790223048
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
2400 Sagamore Pkwy S, Lafayette, IN, 29681-6207
Phone Number
765-772-4086
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2400 Sagamore Pkwy S
City
Lafayette
State
Indiana
Zip
47905-5116
Phone Number
765-772-4086
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Sagamore Pkwy S
City
Lafayette
State
Indiana
Zip
47905-5116
Phone Number
765-772-4086
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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