# LAKE COUNTY GOVERNMENT/HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1922792340
- **Authorized official:** MRS. MARIANNE KUNDICH LPN (NURSING SUPERVISOR)
- **Authorized official phone:** (219) 755-3658

## Contact information

- **Practice address:** 2900 W 93RD AVENUE, CROWN POINT, IN 46307-1866
- **Practice address phone:** (219) 755-3658
- **Practice address fax:** (219) 755-3678
- **Mailing address:** 2900 W 93RD AVENUE, CROWN POINT, IN 46307-1866
- **Mailing address phone:** (219) 755-3658
- **Mailing address fax:** (219) 755-3678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2023
- **Last updated:** 06/07/2023