La Porte Regional Physician Network

NPI #1083897664 in La Porte, Indiana

Provider Information

NPI Number: 1083897664
Entity Type: Organization
Organization Name: La Porte Regional Physician Network
Primary Specialty: Family Medicine
Enumeration Date: Dec 6, 2007
Last Updated: May 5, 2009

Practice Location

Address: 901 LINCOLNWAY
Address 2: SUITE 206
City: La Porte
State: Indiana
ZIP Code: 46350-3430
Phone: (219) 324-3053

Authorized Official

Name: RHONDA VOLK
Title: EXECUTIVE DIRECTOR
Phone: (219) 325-2485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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