NPI 1417953118

Lee Allen Henderson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Lafayette, IN

Practice location

Address: 2400 South St. Department of Pathology, Lafayette, IN 47904
Phone: (765) 448-4319
Fax: (765) 448-2921
Mailing address: PO Box 5628, Lafayette, IN 47903-5628

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 1035929A (IN)

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Registry record

NPI: 1417953118
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2005
Record last updated: 16 Jul 2007

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.