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Laura Elizabeth Blackford, MD
Family Medicine Physician in Plymouth, Indiana
NPI 1073892428

Laura Elizabeth Blackford is a Family Medicine Physician based in South Bend, IN. Laura Elizabeth Blackford practices in Plymouth, IN and has the professional credentials of MD. The NPI Number for Laura Elizabeth Blackford is 1073892428 and holds a License No. 008-T1 (Indiana).

The current practice location address for Laura Elizabeth Blackford is 2349 Lake Ave, Plymouth, IN and can be reached out via phone at 574-948-5100 and via fax at 574-948-5499.

Location: 2349 Lake Ave, Plymouth, IN, 46660-6309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073892428
Provider Name
Laura Elizabeth Blackford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2349 Lake Ave, Plymouth, IN, 46660-6309
Phone Number
574-948-5100
Fax Number
574-948-5499
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000896281 01 IN BCBS
P01504489 01 IN RR MEDICARE
201243260 05 IN
institution
Provider Business Practice Location Address Details
Address
2349 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-7835
Phone Number
574-948-5100
Fax Number
574-948-5499
person
Provider Business Mailing Address Details
Address
2349 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-7835
Phone Number
574-948-5100
Fax Number
574-948-5499
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
008-T1 (Wyoming)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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