Individual
JESSICA LYN LAORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1724 W PLYMOUTH ST, BREMEN, IN 46506-1940
(574) 546-3045
(574) 546-2716
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1215
(817) 702-1697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301114134
MI
390200000X
Student in an Organized Health Care Education/Training Program
BP10049934
TX
Other
Enumeration date
04/03/2013
Last updated
07/02/2025
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