Laporte Regional Physician Netork

NPI #1578674495 in La Porte, Indiana

Provider Information

NPI Number: 1578674495
Entity Type: Organization
Organization Name: Laporte Regional Physician Netork
Primary Specialty: Internal Medicine
Enumeration Date: Aug 31, 2006
Last Updated: Jun 6, 2008

Practice Location

Address: 7002 W JOHNSON RD
City: La Porte
State: Indiana
ZIP Code: 46350-8289
Phone: (219) 325-0604

Authorized Official

Name: RHONDA VOLK
Title: EXECUTIVE DIRECTOR
Phone: (219) 326-2485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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