Dr TIA JAVANTE DORN is a female medical professional, specializing in Family Medicine. She graduated in 2013.
LA PORTE CLINIC COMPANY LLC
3777 N FRONTAGE RD
MICHIGAN CITY
IN
463607695
Tel: 2198746297
| Npi | 1285074740 |
| Pac Id | 5294968988 |
| Professional Enrollment Id | I20190213000698 |
| Last Name | DORN |
| First Name | TIA |
| Middle Name | JAVANTE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | LA PORTE CLINIC COMPANY LLC |
| Group Practice Pac Id | 0446558357 |
| Number Of Group Practice Members | 66 |
| Line 1 Street Address | 3777 N FRONTAGE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 463607695 |
| Phone Number | 2198746297 |
| Hospital Affiliation Ccn 1 | 150006 |
| Hospital Affiliation Lbn 1 | LA PORTE HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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