Individual
MRS. JUDY LAGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1234 E DUPONT RD, STE 7, FORT WAYNE, IN 46825-1545
(260) 490-0940
(260) 490-5063
Mailing address
7510 GARMAN RD, AUBURN, IN 46706-9307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05007944A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346620
ANTHEM PIN
IN
Enumeration date
10/06/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us