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Angela P Lasalle, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1588621619

Angela P Lasalle is a Family Medicine Physician based in Fort Wayne, IN. Angela P Lasalle practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Angela P Lasalle is 1588621619 and holds a License No. 01047101 (Indiana).

The current practice location address for Angela P Lasalle is 1234 E Dupont Rd Ste 3, Fort Wayne, IN and can be reached out via phone at 260-672-6590 and via fax at 260-672-6599.

Location: 1234 E Dupont Rd Ste 3, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588621619
Provider Name
Angela P Lasalle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1234 E Dupont Rd Ste 3, Fort Wayne, IN, 46845-1701
Phone Number
260-672-6590
Fax Number
260-672-6599
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200102450A 05 IN
institution
Provider Business Practice Location Address Details
Address
1234 E Dupont Rd Ste 3
City
Fort Wayne
State
Indiana
Zip
46825-1545
Phone Number
260-672-6590
Fax Number
260-672-6599
person
Provider Business Mailing Address Details
Address
1234 E Dupont Rd Ste 3
City
Fort Wayne
State
Indiana
Zip
46825-1545
Phone Number
260-672-6590
Fax Number
260-672-6599
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01047101A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01047101 (Indiana)
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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