La Porte Clinic Company LLC

NPI #1275081788 in La Porte, Indiana

Provider Information

NPI Number
1275081788
Entity Type
Organization
Organization Name
La Porte Clinic Company LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 13, 2016
Last Updated
Sep 27, 2016

Practice Location

Address
1300 STATE ST
Address 2
SUITE 1B
State
Indiana
ZIP Code
46350-3185
Phone
(219) 362-6297

Authorized Official

Name
MICHAEL A SWAW
Title
DIRECTOR
Phone
(615) 778-8076

Specialties & Taxonomy Codes

Specialty
Optometrist
Technician/Technologist
Ophthalmology
Durable Medical Equipment & Medical Supplies

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