Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
Lakeland Pyschiatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LUNDELL (DIRECTOR)
(219) 325-5485
Entity
Organization
Contact information
Practice address
708 JEFFERSON AVE, LA PORTE, IN 46350-3349
(219) 324-5335
(219) 324-5335
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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