Individual
MRS. JENNA LEIGH LAUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6620
Mailing address
11109 PARKVIEW PLAZA DR # 17, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02006715A
IN
207R00000X
Internal Medicine Physician
C2-0012773
DE
Other
Enumeration date
03/31/2016
Last updated
10/15/2022
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