Individual
LINDA S SIRUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46350-3201
(219) 324-2229
(219) 324-2229
Mailing address
800 LINCOLNWAY STE 301, LA PORTE, IN 46350-3439
(219) 324-2229
(219) 324-2229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01035023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091007
ANTHEM
IN
01
—
050058351
RAILROAD
IN
05
—
100164100
—
IN
Enumeration date
10/20/2006
Last updated
06/22/2009
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