Individual
DR. ZACHARY LAUCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 MEMORIAL DR, STE 502, SOUTH BEND, IN 46601-1075
(574) 647-5875
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02006533A
IN
208600000X
Surgery Physician
036150381
IL
208600000X
Surgery Physician
5151012927
MI
2086S0102X
Surgical Critical Care Physician
Primary
02006533A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043060
—
IN
Enumeration date
06/09/2014
Last updated
12/01/2025
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