NPI 1942348198

Goodman Lostutter LLC

Organisation Exclusive Provider Organization Lawrenceburg, IN

Practice location

Address: 607 Wilson Creek Rd, Lawrenceburg, IN 47025-1074
Phone: (812) 537-4422

Authorised official

Name: Lori Poe
Title: Administrator
Phone: (812) 537-4422

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 060011421 (IN)

Other Exclusive Provider Organization providers in Indiana →

Registry record

NPI: 1942348198
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 27 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.