Provider Demographics
NPI:1861523045
Name:LAWRENCEBURG MEDICAL SERVICES
Entity type:Organization
Organization Name:LAWRENCEBURG MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHWETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-537-1740
Mailing Address - Street 1:276 BIELBY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-2787
Mailing Address - Country:US
Mailing Address - Phone:812-537-1740
Mailing Address - Fax:812-537-4201
Practice Address - Street 1:276 BIELBY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-2787
Practice Address - Country:US
Practice Address - Phone:812-537-1740
Practice Address - Fax:812-537-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN170960Medicare ID - Type Unspecified