Innovative Medicine
Innovative Medicine is an Addiction Medicine (Family Medicine) Physician in Lafayette, Indiana. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 4
Practice location Address checks out
3554 Promenade Pkwy Ste HLafayette, IN 47909-8418
Phone: (765) 471-1100
Fax: (765) 471-1009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X |
| Obesity Medicine (Family Medicine) Physician | Taxonomy 207QB0002X |
| Non-Pharmacy Dispensing Site | Taxonomy 332900000X |
Record details
| NPI number | 1417486523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Snyder — Billing Manager · (765) 413-7100 |
| NPI enumerated | June 12, 2017 |
| Last updated in NPPES | April 18, 2024 |
| Certification date | April 18, 2024 |
| Mailing address | 3554 Promenade Pkwy Ste H, Lafayette, IN 47909-8418 |