Organization
LA PORTE CLINIC COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 983-6300
(219) 983-6080
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 892-9815
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
208600000X
Surgery Physician
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
01/25/2016
Last updated
06/25/2025
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