Individual
JOHN R LABBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2852 E BUICK CADILLAC BLVD, BLOOMINGTON, IN 47401-5442
(812) 334-0698
(812) 334-0950
Mailing address
2852 E BUICK CADILLAC BLVD, BLOOMINGTON, IN 47401-5442
(812) 334-0698
(812) 334-0950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01054787A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01054787A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321780
ANTHEM PIN
IN
05
—
200340320
—
IN
Enumeration date
11/02/2006
Last updated
10/08/2025
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