Lasalle, Angela P

Lasalle, Angela P is an individual health care provider with primary practice located at 1234 E Dupont Rd Ste 3 , Fort Wayne IN 46825-1545. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lasalle, Angela P can be contacted via phone (260) 672-6590.

Contact Information

Primary practice address
1234 E Dupont Rd Ste 3 Fort Wayne IN 46825-1545
Phone: (260) 672-6590
Fax: (260) 672-6599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01047101 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047101A Indiana

Profile Details

NPI number 1588621619
LBN Legal business name Lasalle, Angela P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588621619 NPPES
Indiana MEDICAID 200102450A

Popular Providers