ANGELA P LASALLE

FORT WAYNE, IN
NPI1588621619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01047101A)
Additional Taxonomies174400000X Specialist
(Licence: IN  01047101)
Enumeration Date2006-05-01
Last Update Date2022-10-10
Business Address
ANGELA P LASALLE MD
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-672-6590
Mailing Address
ANGELA P LASALLE MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: