# LAPORTE OSTEOPATHIC FAMILY PRACTICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568656320
- **Authorized official:** MR. CLAYTON BERT ALEXANDER D.O. (PRESIDENT/ DOCTOR)
- **Authorized official phone:** (219) 325-0155

## Contact information

- **Practice address:** 125 EAST SHORE PARKWAY, SUITE D, LA PORTE, IN 46350-5677
- **Practice address phone:** (219) 325-0155
- **Mailing address:** 125 EAST SHORE PARKWAY, SUITE D, LA PORTE, IN 46350-5672
- **Mailing address phone:** (219) 325-0155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 12/08/2020