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Individual

LEAH ANN OSORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
(219) 462-7504
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 465-9502

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077038A
IN
207Q00000X
Family Medicine Physician
57173
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193380057
MEDICARE
05
201376460
IN
Enumeration date
04/24/2012
Last updated
02/04/2019
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