DOROTHEA O ADDO

LUTHERAN MEDICAL GROUP LLC

Dr DOROTHEA O ADDO is a female medical professional, specializing in Internal Medicine. She graduated in 1988.

Contact

LUTHERAN MEDICAL GROUP LLC

2622 LAKE AVE
FORT WAYNE
IN
468055410

Tel: 2604253100

DOROTHEA O ADDO Information

Npi 1063478360
Pac Id 1759426927
Professional Enrollment Id I20100227000106
Last Name ADDO
First Name DOROTHEA
Middle Name O
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1988
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LUTHERAN MEDICAL GROUP LLC
Group Practice Pac Id 4981751617
Number Of Group Practice Members 227
Line 1 Street Address 2622 LAKE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT WAYNE
State IN
Zip Code 468055410
Phone Number 2604253100
Hospital Affiliation Ccn 1 150047
Hospital Affiliation Lbn 1 ST JOSEPH HOSPITAL
Hospital Affiliation Ccn 2 150021
Hospital Affiliation Lbn 2 PARKVIEW REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3 150017
Hospital Affiliation Lbn 3 LUTHERAN HOSPITAL OF INDIANA
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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