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Premise Health of Indiana Medical, P.C. — NPI 1255085379, Lafayette, IN | NPI Central

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NPI 1255085379

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Premise Health of Indiana Medical, P.C.

NPI 1255085379 · Multi-Specialty Clinic/Center · Lafayette, IN

Provider details

NPI number: 1255085379
Entity type: Organization
Primary specialty: Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jon Leizman, President(216) 479-9063

Specialties & taxonomies

Multi-Specialty Clinic/CenterPrimary261QM1300X
Ambulatory Health Care Facilities

Practice location

5500 State Road 38 E

Lafayette, IN 47905-9405

Phone: (765) 588-5667

Fax: (765) 449-8408

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

5500 Maryland Way Ste 120

Brentwood, TN 37027-4993

Other names (DBA / former)

Doing business as: Sia Occupational Medical Clinic
Doing business as: Sia Occupational Medical Clinic

Registry dates

Enumerated: 2022-02-08
Last updated: 2022-08-25
Certified: 2022-08-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.