| NPI | 1760593776 |
|---|---|
| Former Legal Business Name | LA PORTE REGIONAL PHYSICIAN NETWORK INC |
| Entity Type | Organization |
| Authorized Contact | BRIAN DONNELLY VP Of Strategy & Ambulatory Service 219-325-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-22 |