| Louck Family Medicine | |
|
118 W Drexel Pkwy Rensselaer IN 47978-7344 | |
| (219) 866-4300 | |
| (219) 866-7591 |
| Full Name | Louck Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 118 W Drexel Pkwy, Rensselaer, Indiana |
| Authorized Official Name and Position | Martha K Miller (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7654465417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louck Family Medicine Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Louck Family Medicine 118 W Drexel Pkwy Rensselaer IN 47978-7344 Ph: (219) 866-4300 |
| NPI Number | 1740568088 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740568088 | NPI | - | NPPES |
| 200476110 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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