Lake-Porter Cardiovascular PC
NPI #1972694669 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1972694669
- Entity Type
- Organization
- Organization Name
- Lake-Porter Cardiovascular PC
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Dec 12, 2019
Practice Location
- Address
- 2000 ROOSEVELT RD STE 101
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2801
- Phone
- (219) 462-1619
Authorized Official
- Name
- MARCIA POWERS
- Title
- OFFICE MANAGER
- Phone
- (219) 477-4452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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