La Porte Clinic Company LLC
NPI #1770936965 in Knox, Indiana
Provider Information
- NPI Number
- 1770936965
- Entity Type
- Organization
- Organization Name
- La Porte Clinic Company LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 22, 2016
- Last Updated
- May 7, 2024
Practice Location
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIRECTOR PROVIDER ENROLLMENT
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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