Organization
LAKE COUNTY JAIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WALLACE FORGEY M.D. (MEDICAL DIRECTOR)
(219) 755-3385
Entity
Organization
Contact information
Practice address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 648-6300
(219) 755-3427
Mailing address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 648-6300
(219) 755-3427
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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