Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
LAKELAND INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
901 LINCOLNWAY, SUITE 212, HERITAGE PLACE, LA PORTE, IN 46350-3430
(219) 325-3775
(219) 325-9421
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
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070C
—
IN
Enumeration date
05/28/2006
Last updated
06/06/2008
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