| NAME |
LAWRENCEBURG |
| STATE |
INDIANA |
| STREET ADDR. 1 |
131 CAMPUS DR |
| CITY |
LAWRENCEBURG |
| ZIP |
47025-1387 |
| OFFICIAL VA NAME |
LAWRENCEBURG (DEARBORN COUNTY) |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LAWRENCEBURG VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1609829209
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
539GC |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1600 FLOSSIE DRIVE
- CITY (CHANGED FROM): GREENDALE
- STATE (CHANGED FROM): INDIANA
- ZIP (CHANGED FROM): 47025-8424
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1609829209
-
- CODING SYSTEM: VASTANUM
- ID: 539GC
|
