Organization
LAPORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
Lakeland Psychiatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T MCDERMOTT (VICE PRESIDENT, COO)
(219) 326-2489
Entity
Organization
Contact information
Practice address
1300 STATE ST, SUITE 1B, LA PORTE, IN 46350-3185
(219) 326-0000
(219) 326-0040
Mailing address
1100 LINCOLNWAY, LA PORTE, IN 46350-3289
(219) 326-2489
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
09/27/2007
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