Organization
LAPORTE REGIONAL PHYSICIAN NETORK
Active
Organization
LAPORTE REGIONAL PHYSICIAN NETORK
Active
Other names
Johnson Road Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
7002 W JOHNSON RD, LA PORTE, IN 46350-8289
(219) 325-0604
(219) 879-1401
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070B
—
IN
Enumeration date
08/31/2006
Last updated
06/06/2008
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