Chang, Laurette

Chang, Laurette is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as her primary health care specialty. Chang, Laurette can be contacted via phone (765) 448-8335.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Fax: (765) 448-7656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 01061088A Indiana

Profile Details

NPI number 1104895978
LBN Legal business name Chang, Laurette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895978 NPPES
Indiana MEDICAID 200530930
Indiana Other 000000372021
Indiana Other 10706379
Indiana Other 9286866

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