La Porte Regional Physician Network, Inc.

NPI #1750517603 in Westville, Indiana

Provider Information

NPI Number: 1750517603
Entity Type: Organization
Organization Name: La Porte Regional Physician Network, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 5, 2009
Last Updated: Jun 23, 2009

Practice Location

Address: 156 FLYNN ROAD
City: Westville
State: Indiana
ZIP Code: 46391-9491
Phone: (219) 785-7021

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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