Lett, Larry R

Lett, Larry R is an individual health care provider with primary practice located at 2350 S Dixon Rd Suite 430, Kokomo IN 46902-6428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lett, Larry R can be contacted via phone (765) 319-3681.

Contact Information

Primary practice address
2350 S Dixon Rd Suite 430 Kokomo IN 46902-6428
Phone: (765) 319-3681
Fax: (765) 319-3683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01027809A Indiana

Profile Details

NPI number 1457361115
LBN Legal business name Lett, Larry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457361115 NPPES
Indiana MEDICAID 100354410
Indiana Other 000000082993
Indiana Other 3566882001

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