Laurette Chang
Foot and Ankle Orthopaedic Surgeon
2600 Ferry St
Lafayette
, Indiana 47904-3055
Laurette Chang
Foot and Ankle Orthopaedic Surgeon
2600 Ferry St
Lafayette
, Indiana 47904-3055
(765) 448-8335
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Laurette Chang
- Po Box 5545
- Lafayette, IN
- Zip : 47903-5545
- Fax : (765) 448-8335
- Phone : (765) 448-8000
Second Address
- Laurette Chang
- 2600 Ferry St
- Lafayette, IN
- Zip : 47904-3055
- Fax : (765) 448-7656
- Phone : (765) 448-8335
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01061088A | IN |
National Provider Identifier
| NPI | 1104895978 |
|---|---|
| Provider Name | Laurette Chang |
| First Address | Lafayette, IN 47903-5545 |
| Second Address | Lafayette, IN 47904-3055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 12/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000372021 | ANTHEM PROVIDER NUMBER (01) | IN |
| 10706379 | CAQH NUMBER (01) | IN |
| 200530930 | (05) | IN |
| 9286866 | PHCS PID NUMBER (01) | IN |
| B18035 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.