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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INNOVATIVE MEDICINE

Active Organization

INNOVATIVE MEDICINE is a Addiction Medicine (Family Practice) organization located in LAFAYETTE, Indiana. NPI 1417486523 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · LAFAYETTE, IN

Registration Details

NPI Number
1417486523
Provider Type
Organization
NPI Issued
Jun 12, 2017 (9.1961307039543 yrs)
Last Updated
Apr 18, 2024

Practice Information

Address
3554 PROMENADE PKWY STE H
LAFAYETTE, IN, 479098418
Browse IN providers · Browse ZIP 47909
Phone
7654711100
Fax
7654711009
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X
Additional Specialty
Adolescent Medicine
Additional Specialty
Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.