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Organization

LAPORTE REGIONAL PHYSICIAN NETWORK, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA VOLK (EXECUTIVE VICE-PRESIDENT)
(219) 326-2489
Entity
Organization

Contact information

Practice address
601 W KIEFFER RD, MICHIGAN CITY, IN 46360-9599
(219) 879-6262
(219) 874-1885
Mailing address
1100 LINCOLNWAY, LA PORTE, IN 46352
(219) 326-2489

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003388
IN

Other

Enumeration date
10/18/2010
Last updated
10/20/2010
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