Henderson, Lee Allen

Henderson, Lee Allen is an individual health care provider with primary practice located at 2400 South St. Department Of Pathology, Lafayette IN 47904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Henderson, Lee Allen can be contacted via phone (765) 448-4319.

Contact Information

Primary practice address
2400 South St. Department Of Pathology Lafayette IN 47904
Phone: (765) 448-4319
Fax: (765) 448-2921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 1035929A Indiana

Profile Details

NPI number 1417953118
LBN Legal business name Henderson, Lee Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 16th, 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 1417953118 NPPES
Indiana Other 000000315528 ANTHEM
Indiana Other 111890J ANTHEM
Indiana Other 176600G ANTHEM

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