| La Porte Regional Physician Network, Inc. | |
|
156 Flynn Road Westville IN 46391-9491 | |
| (219) 785-7021 | |
| (219) 785-7159 |
| Full Name | La Porte Regional Physician Network, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 156 Flynn Road, Westville, Indiana |
| Authorized Official Name and Position | Rhonda Volk (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2193262485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Porte Regional Physician Network, Inc. Po Box 1690 La Porte IN 46352-1690 Ph: (219) 326-2489 | La Porte Regional Physician Network, Inc. 156 Flynn Road Westville IN 46391-9491 Ph: (219) 785-7021 |
| NPI Number | 1750517603 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750517603 | NPI | - | NPPES |
| 100165070J | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lippelt Clinical And Sports Nutrition Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7606 S Us Highway 421, Westville, IN 46391 Phone: 219-508-0294 |