| Doctor Name: | JENNIFER LACKMAN-CHUPPE |
| NPI Number: | 1568428019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01037290 |
| Business Practice Address: | 600 East Blvd Emergency Department Elkhart, IN - 465142483 |
| Business Phone Number: | 5745233161 |
| Business Fax Number: | |
| Mailing Address: | 3371 Cleveland Road Ext, Suite 210 SOUTH BEND |
| State: | IN |
| Postal Code: | 466289780 |
| Phone Number: | 5742712558 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 10/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207P00000X |
| License Number: | 01037290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |