Lenox M Madubansi, BA

Individual provider Active NPI Case Manager/Care Coordinator · Elwood, IN

NPI 1982755484 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1982755484
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
10731 N State Road 13
Elwood, IN 46036-8874
Phone
(765) 552-5009
Fax
(765) 552-8347
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

10731 N State Road 13
Elwood, IN 46036-8874

Mailing address

PO Box 1258
Anderson, IN 46015-1258
Phone (765) 649-8161

Other providers in Elwood, IN

All providers in Elwood, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.