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LAPORTE REGIONAL PHYSICIAN NETWORK NPI 1114038908


NPI Information

NPI: 1114038908
Provider Name: LAPORTE REGIONAL PHYSICIAN NETWORK

Doing Business As: LAKELAND PSYCHIATRICS

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1300 STATE ST
SUITE 1B
LA PORTE, IN
ZIP 46350
Phone: (219) 326-0000
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LAPORTE REGIONAL PHYSICIAN NETWORK is a neurology psychiatry neurology in La Porte, IN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LAPORTE REGIONAL PHYSICIAN NETWORK NPI is 1114038908. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeland Psychiatrics.

The provider's business location address is:

1300 STATE ST
SUITE 1B
LA PORTE, IN
ZIP 46350-185
Phone: (219) 326-0000
Fax: (219) 326-0040

The provider's authorized official is Mary T Mcdermott .
The authorized official title is Vice President, Coo and has the following contact phone number (219) 326-2489.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1151020MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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