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Jennifer L. Lackman-chuppe, MD
Emergency Medicine Physician in South Bend, Indiana
NPI 1568428019

Jennifer L. Lackman-chuppe is a Emergency Medicine Physician based in South Bend, IN. Jennifer L. Lackman-chuppe practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Jennifer L. Lackman-chuppe is 1568428019 and holds a License No. 01037290 (Indiana).

The current practice location address for Jennifer L. Lackman-chuppe is 615 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7459 and via fax at 574-647-3658.

Location: 615 N Michigan St, South Bend, IN, 46628-9780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568428019
Provider Name
Jennifer L. Lackman-chuppe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
615 N Michigan St, South Bend, IN, 46628-9780
Phone Number
574-647-7459
Fax Number
574-647-3658
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930101010 01 IN RAIL ROAD MEDICARE
000000181682 01 IN ANTHEM
104340074 05 MI
100091200 05 IN
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1087
Phone Number
574-647-7459
Fax Number
574-647-3658
person
Provider Business Mailing Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1087
Phone Number
574-647-7459
Fax Number
574-647-3658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01037290 (Indiana)
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.
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