BOONE COUNTY AUDITOR

NPI # 

Practice Address:

116 W Washington St Ste B202

Lebanon, IN, 46052-2174

Practice Phone:

765-482-3942

Practice Fax:

765-483-4450

License Number:

0102636A

License State:

IN

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X