La Porte Regional Physician Network

NPI #1811944465 in La Porte, Indiana

Provider Information

NPI Number: 1811944465
Entity Type: Organization
Organization Name: La Porte Regional Physician Network
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2006
Last Updated: Jun 6, 2008

Practice Location

Address: 901 LINCOLNWAY
Address 2: SUITE 212, HERITAGE PLACE
City: La Porte
State: Indiana
ZIP Code: 46350-3430
Phone: (219) 325-3775

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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