Graduated: 2018
NPI: 1346707841
Practice Locations (3)
LA PORTE CLINIC COMPANY LLC
104 E CULVER RD
KNOX, IN 465342241
LA PORTE CLINIC COMPANY LLC
1331 STATE ST
LA PORTE, IN 463503112
LA PORTE CLINIC COMPANY LLC
304 DETROIT ST
LA PORTE, IN 463502497
2193253770
Source: CMS National Downloadable File, September 2026.