Laporte Osteopathic Family Practice

NPI #1568656320 in La Porte, Indiana

Provider Information

NPI Number: 1568656320
Entity Type: Organization
Organization Name: Laporte Osteopathic Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Sep 4, 2007
Last Updated: Dec 8, 2020

Practice Location

Address: 125 EAST SHORE PARKWAY
Address 2: SUITE D
City: La Porte
State: Indiana
ZIP Code: 46350-5677
Phone: (219) 325-0155

Authorized Official

Name: MR. CLAYTON BERT ALEXANDER, D.O.
Title: PRESIDENT/ DOCTOR
Phone: (219) 325-0155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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