Laporte Regional Physician Network

NPI #1114038908 in La Porte, Indiana

Provider Information

NPI Number
1114038908
Entity Type
Organization
Organization Name
Laporte Regional Physician Network
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Aug 31, 2006
Last Updated
Sep 27, 2007

Practice Location

Address
1300 STATE ST
Address 2
SUITE 1B
State
Indiana
ZIP Code
46350-3185
Phone
(219) 326-0000

Authorized Official

Name
MARY T MCDERMOTT
Title
VICE PRESIDENT, COO
Phone
(219) 326-2489

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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