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Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
Lakeland Pyschiatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LUNDELL (DIRECTOR)
(219) 325-5485
Entity
Organization
Contact information
Practice address
708 JEFFERSON AVE, LA PORTE, IN 46350-3349
(219) 324-5335
(219) 324-5335
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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