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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA P LASALLE, MD

Active

ANGELA P LASALLE, MD is a Family Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1588621619 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT WAYNE, IN

Registration Details

NPI Number
1588621619
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2006 (20.291703702436 yrs)
Last Updated
Oct 10, 2022
Licenses
01047101 (IN)
01047101A (IN)

Practice Information

Address
1234 E DUPONT RD STE 3
FORT WAYNE, IN, 468251545
Browse IN providers · Browse ZIP 46825
Phone
2606726590
Fax
2606726599
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FORT WAYNE, IN

Name Credential NPI
DR. JOSEPH ROBERT HUGUENARD MD 1598767782
TODD ROBERT PAGE MD 1184622367
LYNN VAN VALER FAUR MD 1326047721
DENISE M SMITH DO 1912907445
WILLIAM D GOUDY D.O. 1568462935
,BIRUTE L PUMPUTIS MD 1326048455
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.