| Organization Name: | LAPORTE COUNTY HEALTH DEPARTMENT |
| NPI Number: | 1093005126 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONY MANCUSO (ADMINISTRATOR) |
| Mailing Address: | 809 State St Suite 401a La Porte |
| State: | IN US |
| Postal Code: | 463503385 |
| Phone Number: | 2193266808 |
| Fax Number: | 2193258628 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 251K00000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |